Individual
DEVIN NICHOLE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 INDUSTRIAL DR, FENNIMORE, WI 53809-9578
(608) 822-3276
Mailing address
6271 BLUFF RD, LANCASTER, WI 53813-9577
(608) 723-9709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1910064580
WI
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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