ROGER WAGNER

SPRINGFIELD, MO
NPI1396874335
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2007025212)
Enumeration Date2007-03-05
Last Update Date2007-12-06
Business Address
Mr. ROGER WAGNER M.S., CCC-SLP
639 W CHESTNUT EXPY
SPRINGFIELD, MO 65802-3935
Phone number: 417-523-1320
Mailing Address
Mr. ROGER WAGNER M.S., CCC-SLP
3224 W WINCHESTER RD
SPRINGFIELD, MO 65807-3835
Phone number: 417-523-1320