Individual
ADRIENNE KATHLEEN WAGSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 JACKSON WALK PLZ, JACKSON, TN 38301-3008
(731) 421-6950
Mailing address
101 JACKSON WALK PLZ, JACKSON, TN 38301-3008
(731) 421-6950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7221
TN
Other
Enumeration date
04/24/2019
Last updated
08/01/2024
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