Individual
JULIE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
121 ASTON ROW LN, COLUMBUS, OH 43201-3779
(614) 264-8654
Mailing address
121 ASTON ROW LN, COLUMBUS, OH 43201-3779
(614) 264-8654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 4992
OH
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
01/24/2014
Last updated
01/01/2021
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