Individual
KAREN S. WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
587 SHIRLEY LN NE, PIEDMONT, OK 73078-4239
(405) 290-8646
Mailing address
587 SHIRLEY LN NE, PIEDMONT, OK 73078-4239
(405) 290-8646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2992
OK
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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