Individual
JAMIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
355 WILLIAM MILLS DR, STANARDSVILLE, VA 22973-3055
(434) 985-4434
Mailing address
83 MARJORIE LN, RUCKERSVILLE, VA 22968-9568
(434) 996-2103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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