SCOTT WAGNER

SAINT LOUIS, MO
NPI1124492350
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  104180)
Enumeration Date2015-11-27
Last Update Date2015-11-27
Business Address
-- SCOTT WAGNER M.A. CCC-SLP
5045 KENNELWOOD DR
SAINT LOUIS, MO 63129-2424
Phone number: 314-852-5282
Mailing Address
-- SCOTT WAGNER M.A. CCC-SLP
5045 KENNELWOOD DR
SAINT LOUIS, MO 63129-2424
Phone number: 314-852-5282
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