Individual
MELISSA SANDRETTO WAGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 TOMAHAWK DR, ARNOLD, MO 63010-2522
(636) 282-1470
Mailing address
2500 TOMAHAWK DR, ARNOLD, MO 63010-2522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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