CAROLE SUE WAGNER

SAINT LOUIS, MO
NPI1275583544
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: MO  2004012994)
Enumeration Date2006-05-10
Last Update Date2007-07-08
Business Address
Ms. CAROLE SUE WAGNER O.T.R./L
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125-4181
Phone number: 314-894-6505
Mailing Address
Ms. CAROLE SUE WAGNER O.T.R./L
862 PHEASANT WOODS DR
MANCHESTER, MO 63021-4300
Phone number: 636-394-7429