Individual
SYDNEY R WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
920 E 56TH ST BLDG A, KEARNEY, NE 68847-8628
(308) 233-5060
(308) 233-5060
Mailing address
920 E 56TH ST BLDG A, KEARNEY, NE 68847-8628
(308) 233-5060
(308) 233-5062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2294
NE
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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