Individual
NICOLE M WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
715 E KING ST, SEAFORD, DE 19973-3505
(302) 628-3000
Mailing address
27530 TROTTERS RUN, SALISBURY, MD 21801-1819
(410) 742-2979
(410) 742-0106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
DE
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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