Individual
HEATHER WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
309 E MOREHEAD ST STE 200, CHARLOTTE, NC 28202-2325
(800) 299-8132
Mailing address
309 E MOREHEAD ST STE 200, CHARLOTTE, NC 28202-2325
(800) 299-8132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105357
TX
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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