MS. Jeanie Wagener, MS, CCC
NPI #1053302299 in Vancouver, Washington
Provider Information
- NPI Number
- 1053302299
- Entity Type
- Individual
- Name
- MS. Jeanie Wagener, MS, CCC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC
- Enumeration Date
- Nov 4, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1010 WASHINGTON ST
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98660-3167
- Phone
- (360) 699-6374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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