Johanna Linnea Wagner, SLP
NPI #1154052041 in Villa Rica, Georgia
Provider Information
- NPI Number
- 1154052041
- Entity Type
- Individual
- Name
- Johanna Linnea Wagner, SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- Jun 21, 2022
- Last Updated
- May 16, 2023
Practice Location
- Address
- 112 THREE WEST PKWY
- City
- Villa Rica
- State
- Georgia
- ZIP Code
- 30180-4778
- Phone
- (770) 459-6533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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