MRS. Kelly Anne Wagner, MS CCC-SLP
NPI #1235562307 in Edmonds, Washington
Provider Information
- NPI Number
- 1235562307
- Entity Type
- Individual
- Name
- MRS. Kelly Anne Wagner, MS CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS CCC-SLP
- Enumeration Date
- Aug 13, 2013
- Last Updated
- Jun 11, 2025
Practice Location
- Address
- 7500 212TH ST SW STE 204
- City
- Edmonds
- State
- Washington
- ZIP Code
- 98026-7617
- Phone
- (360) 504-8893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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