Individual
ANGELA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
950 OFFICE PARK RD STE 100, WEST DES MOINES, IA 50265-2548
(515) 224-0979
Mailing address
4322 WALNUT PEAK LN, CLIVE, IA 50325-2216
(515) 480-5572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
97943
IA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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