WAYLEE LANE WAGONER

GLASTONBURY, CT
NPI1720647266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CT  18.007625)
Enumeration Date2019-06-09
Last Update Date2024-01-17
Business Address
Miss WAYLEE LANE WAGONER
2300 MAIN ST
GLASTONBURY, CT 06033-2218
Phone number: 860-430-1762
Mailing Address
Miss WAYLEE LANE WAGONER
2300 MAIN ST
GLASTONBURY, CT 06033-2218
Phone number: 860-430-1762
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