Jacquelyn Wagner, MSCCC-SLP
Jacquelyn Wagner, MSCCC-SLP is a Speech-Language Pathologist in Milwaukee, Wisconsin. Licensed in Illinois and Wisconsin. Registered with an NPI since 2006.
- Licensed in
- IL, WI
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
833 N 26th StMilwaukee, WI 53233-1507
Phone: (414) 344-7676
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 2978154 (WI) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence 242.000217 (IL) |
Record details
| NPI number | 1134290935 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSCCC-SLP |
| Sole proprietor | No |
| NPI enumerated | November 13, 2006 |
| Last updated in NPPES | September 18, 2008 |
| Mailing address | 833 N 26th Street, Milwaukee, WI 53233-4345 |
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