Individual
MRS. AMANDA K. WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1610 N COUNTYLINE ST, FOSTORIA, OH 44830-1938
(419) 447-7203
(419) 447-5577
Mailing address
PO BOX 833, TIFFIN, OH 44883-0833
(419) 447-7203
(419) 447-5577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7019
OH
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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