MRS. Lori Reeds Waggoner, MS CCC/SLP
NPI #1629596671 in Pinckneyville, Illinois
Provider Information
- NPI Number
- 1629596671
- Entity Type
- Individual
- Name
- MRS. Lori Reeds Waggoner, MS CCC/SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS CCC/SLP
- Enumeration Date
- Aug 30, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 301 W MULBERRY ST
- City
- Pinckneyville
- State
- Illinois
- ZIP Code
- 62274-1370
- Phone
- (618) 357-5161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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