Individual
AMBER WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
130 MEDICAL CIR, NASHVILLE, AR 71852-8606
(870) 845-8161
Mailing address
1060 CHAPEL HILL RD, DE QUEEN, AR 71832-9013
(870) 582-4412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4258
AR
Other
Enumeration date
07/16/2019
Last updated
07/25/2022
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