Individual
KRISTIN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2499 ZERBE RD, NARVON, PA 17555-9328
(717) 445-4551
Mailing address
360 HUNTINGTON CT, WEST CHESTER, PA 19380-1781
(717) 341-2929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012007
PA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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