Individual
CARA SUZANNE WAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16556 N. 104 ST., SCOTTSDALE, AZ 85255
(480) 563-7858
Mailing address
16556 N. 104 ST., SCOTTSDALE, AZ 85255
(480) 563-7858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2159
AZ
Other
Enumeration date
03/20/2009
Last updated
08/12/2020
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