JACQUELINE WAGNER

CHICAGO, IL
NPI1104131648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146009849)
Enumeration Date2010-08-09
Last Update Date2010-08-09
Business Address
-- JACQUELINE WAGNER M.S., CCC-SLP/L
1640 N WELLS ST SUITE 103
CHICAGO, IL 60614-6087
Phone number: 312-642-4300
Mailing Address
-- JACQUELINE WAGNER M.S., CCC-SLP/L
1640 N WELLS ST SUITE 103
CHICAGO, IL 60614-6087
Phone number: 312-642-4300
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