KIMBERLY WAGGONER, MSW
Social Worker - Clinical
Active
Individual
NPI: 1114954302
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | ISW00879 (RI) |
Frequently Asked Questions
NPI 1114954302 is the National Provider Identifier for KIMBERLY WAGGONER, MSW, a Social Worker - Clinical provider located in East Providence, RI. This NPI was enumerated on June 26, 2006.
KIMBERLY WAGGONER, MSW practices at 400 MASSASOIT AVE STE 101, East Providence, RI 02914.
Quick Facts
- NPI
- 1114954302
- Type
- Individual
- Enumerated
- Jun 26, 2006
- Last Updated
- Aug 28, 2021
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