EMILY MARIE WAGNER

CHICAGO, IL
NPI1821333485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146008770)
Enumeration Date2012-12-06
Last Update Date2012-12-06
Business Address
Miss EMILY MARIE WAGNER
3823 N SOUTHPORT AVE #2
CHICAGO, IL 60613-5933
Phone number: 773-633-3789
Mailing Address
Miss EMILY MARIE WAGNER
3823 N SOUTHPORT AVE #2
CHICAGO, IL 60613-5933
Phone number: 773-633-3789
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