Individual
JOYCE RACHEL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
1 MAGNOLIA, ATTENTION REHAB, LAPLATA, MD 20646
(301) 934-4001
(301) 934-4580
Mailing address
23435 ASTER WAY, CALIFORNIA, MD 20619-6149
(240) 317-5279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04889
MD
Other
Enumeration date
04/12/2007
Last updated
06/03/2011
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