Individual
JENNIFER C WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2205 N 45TH ST, UNIT A, SEATTLE, WA 98103-6903
(206) 547-2500
Mailing address
3127 BROADWAY E, SEATTLE, WA 98102-3850
(206) 325-3287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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