Individual
MRS. CHERYL ANN WAGNER MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 BALDWIN RD, RUSHVILLE, NY 14544-9738
(585) 554-6441
(585) 554-6176
Mailing address
4100 BALDWIN RD, RUSHVILLE, NY 14544-9738
(585) 554-6441
(585) 554-6176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015245
NY
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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