KATHRYN E WAGNER

JENKS, OK
NPI1972177483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OK  3019)
Enumeration Date2021-05-19
Last Update Date2021-05-19
Business Address
KATHRYN E WAGNER M.S. CCPSLP
11711 S VINE ST
JENKS, OK 74037-4343
Phone number: 918-289-1667
Mailing Address
KATHRYN E WAGNER M.S. CCPSLP
11711 S VINE ST
JENKS, OK 74037-4343
Phone number: 918-289-1667