Jody Wagoner

NPI #1922581222 in Paris, Illinois

Provider Information

NPI Number
1922581222
Entity Type
Individual
Name
Jody Wagoner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Sep 12, 2018
Last Updated
Sep 12, 2018

Practice Location

Address
509 E NEWTON ST
City
Paris
ZIP Code
61944-2421
Phone
(217) 466-6170

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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