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1164626867
ELLEN F. WAGSTAFF
FORT WORTH, TX
NPI
1164626867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TX 19323)
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
ELLEN F. WAGSTAFF
508 S ADAMS ST STE. 102
FORT WORTH, TX 76104-2147
Phone number: 817-878-2834
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Mailing Address
ELLEN F. WAGSTAFF
428 MOONLIGHT LN
KELLER, TX 76248-2707
Phone number:
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