Individual
MADISON WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16356 N THOMPSON PEAK PKWY APT 1077, SCOTTSDALE, AZ 85260-2103
(760) 683-4878
Mailing address
16356 N THOMPSON PEAK PKWY APT 1077, SCOTTSDALE, AZ 85260-2103
(760) 683-4878
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14239
AZ
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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