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1649724204
HEATHER WAGNER
BLUE SPRINGS, MO
NPI
1649724204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 2016026452)
Enumeration Date
2016-08-11
Last Update Date
2019-05-03
Business Address
HEATHER WAGNER SLP
5020 NW VALLEY VIEW RD
BLUE SPRINGS, MO 64015-2345
Phone number: 816-874-3670
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Mailing Address
HEATHER WAGNER SLP
621 NE 5TH ST
BLUE SPRINGS, MO 64014-2976
Phone number: 573-579-5273
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