Individual
MRS. KIRSTEN SUZANNE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3035 WOOSTER RD, ROCKY RIVER, OH 44116
(440) 356-4365
(440) 333-0910
Mailing address
3035 WOOSTER RD, ROCKY RIVER, OH 44116
(440) 356-4365
(440) 333-0910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.11173
OH
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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