Colleen Wagener

NPI #1902320799 in Bridgeton, Missouri

Provider Information

NPI Number
1902320799
Entity Type
Individual
Name
Colleen Wagener
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Aug 2, 2017
Last Updated
Aug 2, 2017

Practice Location

Address
12380 DEPAUL DRIVE
ZIP Code
63044-2511
Phone
(314) 447-9741

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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