Individual
MARTHA WAGELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3691 BEN WALTERS LN, SUITE 4, HOMER, AK 99603-7750
(907) 235-6044
(907) 235-2644
Mailing address
3691 BEN WALTERS LN, SUITE 4, HOMER, AK 99603-7750
(907) 235-6044
(907) 235-2644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
137
AK
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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