Individual
RACHEL WAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 3RD ST SW, ROANOKE, VA 24016-5204
(540) 982-2208
Mailing address
1421 3RD ST SW, ROANOKE, VA 24016-5204
(540) 982-2208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000742
VA
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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