KYLEE WAGENECHT

KEWANEE, IL
NPI1407336670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.014899)
Enumeration Date2018-08-17
Last Update Date2019-08-12
Business Address
KYLEE WAGENECHT
1318 W 6TH ST
KEWANEE, IL 61443-1261
Phone number: 309-852-5695
Mailing Address
KYLEE WAGENECHT
1318 W 6TH ST
KEWANEE, IL 61443-1261
Phone number: 309-852-5696
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