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Data Detail

Name: John Wesley Waggoner 

Designation: PsyD

Issue Date: 8/7/2020

Expiration Date: 6/30/2024

License Number: 60 1056

Disciplinary Action: None

Company: United States Air Force

City: Biloxi

State: MS

Zip: 39534

Work Phone: (228) 376-0385  Ext:

Civil Commitment Certification: