Carly Marie Wagner, MS, CCC-SLP

NPI #1457692428 in Hudson, Wisconsin

Provider Information

NPI Number
1457692428
Entity Type
Individual
Name
Carly Marie Wagner, MS, CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MS, CCC-SLP
Enumeration Date
Mar 15, 2013
Last Updated
Sep 16, 2013

Practice Location

Address
742 STERBENZ DR
Address 2
ST CROIX THERAPY
City
Hudson
ZIP Code
54016-8327
Phone
(715) 386-2128

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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