Individual
EMILY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
185 CHARLOIS BOULEVARD, WINSTON-SALEM, NC 27013
(336) 725-0222
Mailing address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 725-0222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NC
Other
Enumeration date
10/25/2016
Last updated
08/30/2017
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