Jacqueline Wagner, M.S., CCC-SLP/L

NPI #1104131648 in Chicago, Illinois

Provider Information

NPI Number
1104131648
Entity Type
Individual
Name
Jacqueline Wagner, M.S., CCC-SLP/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S., CCC-SLP/L
Enumeration Date
Aug 9, 2010
Last Updated
Aug 9, 2010

Practice Location

Address
1640 N WELLS ST
Address 2
SUITE 103
ZIP Code
60614-6087
Phone
(312) 642-4300

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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