ALEXA WAGNER

PLAINFIELD, IL
NPI1760908198
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146014611)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
Enumeration Date2017-08-17
Last Update Date2021-12-10
Business Address
ALEXA WAGNER SLP
13400 S ROUTE 59 STE 116-326
PLAINFIELD, IL 60585-5826
Phone number: 815-267-7334
Mailing Address
ALEXA WAGNER SLP
3815 E MAIN ST STE B
ST CHARLES, IL 60174-2488
Phone number: 630-584-7530