JEANIE WAGENER

VANCOUVER, WA
NPI1053302299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WA  LL00001505)
Enumeration Date2005-11-04
Last Update Date2007-07-08
Business Address
Ms. JEANIE WAGENER MS, CCC
1010 WASHINGTON ST
VANCOUVER, WA 98660-3167
Phone number: 360-699-6374
Mailing Address
Ms. JEANIE WAGENER MS, CCC
1010 WASHINGTON ST
VANCOUVER, WA 98660-3167
Phone number: 360-699-6374