ELLEN F. WAGSTAFF

FORT WORTH, TX
NPI1164626867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  19323)
Enumeration Date2007-06-14
Last Update Date2007-07-08
Business Address
-- ELLEN F. WAGSTAFF
508 S ADAMS ST STE. 102
FORT WORTH, TX 76104-2147
Phone number: 817-878-2834
Mailing Address
-- ELLEN F. WAGSTAFF
428 MOONLIGHT LN
KELLER, TX 76248-2707
Phone number:
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