Individual
ELIZABETH CROSSLEY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7114 COPLE HWY, HAGUE, VA 22469-2525
(804) 440-1489
Mailing address
5004 MONUMENT AVE STE 104, RICHMOND, VA 23230-3629
(804) 440-1489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22040006-42
VA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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