Organization
JENNIFER WAGNER, MA, CCC-SLP: PEDIATRIC SPEECH AND LANGUAGE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WAGNER MA, CCC-SLP (OWNER)
(206) 227-7199
Entity
Organization
Contact information
Practice address
3417 EVANSTON AVE N STE 311, SEATTLE, WA 98103-8967
(206) 227-7199
Mailing address
3417 EVANSTON AVE N STE 311, SEATTLE, WA 98103-8967
(206) 227-7199
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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