COLLEEN WAGNER

DOWNINGTOWN, PA
NPI1801140132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: PA  SL005680L)
Enumeration Date2012-11-08
Last Update Date2012-11-08
Business Address
-- COLLEEN WAGNER
455 BOOT RD
DOWNINGTOWN, PA 19335-3043
Phone number: 484-883-2218
Mailing Address
-- COLLEEN WAGNER
455 BOOT RD
DOWNINGTOWN, PA 19335-3043
Phone number: 484-883-2218