Individual
EMILY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. C-F SLP
Contact information
Practice address
1405 SOUTH COTTAGE GROVE AVENUE, KIRKSVILLE, MO 63501
(509) 845-2444
Mailing address
19328 HICKORY LEAF TRL, KIRKSVILLE, MO 63501-7023
(509) 845-2444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024050321
MO
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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