JOSEPH HERMAN WAGNER

SAINT LOUIS, MO
NPI1134322639
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  01668)
Enumeration Date2007-06-11
Last Update Date2007-07-09
Business Address
-- JOSEPH HERMAN WAGNER ST
9445 LITZSINGER RD
SAINT LOUIS, MO 63144-2113
Phone number: 314-968-2350
Mailing Address
-- JOSEPH HERMAN WAGNER ST
1223 WEATHERTON PL
BALLWIN, MO 63021-7439
Phone number: 636-391-7643
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