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Individual
CAROLYN WAGNER
Active
Individual
CAROLYN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11225
MD
235Z00000X
Speech-Language Pathologist
6121
SC
Other
Enumeration date
09/30/2016
Last updated
12/12/2024
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