MARY ELLEN WAGNER

MUNSTER, IN
NPI1669622049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22003330A)
Enumeration Date2008-09-23
Last Update Date2008-09-23
Business Address
-- MARY ELLEN WAGNER MS.CCC/SLP
8437 NORTHCOTE AVE
MUNSTER, IN 46321-2023
Phone number: 219-781-5158
Mailing Address
-- MARY ELLEN WAGNER MS.CCC/SLP
8437 NORTHCOTE AVE
MUNSTER, IN 46321-2023
Phone number: 219-781-5158
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