Individual
CHERYL LAUREEN WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 413-3780
Mailing address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 413-3780
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
659
NE
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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