Individual
KELSEY JO WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6404 N 70TH PLZ, OMAHA, NE 68104-1074
(402) 537-3700
Mailing address
6404 N 70TH PLZ, OMAHA, NE 68104-1074
(402) 573-3700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NE
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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