Jody Lynn Wagner, MS CCC-SLP

NPI #1699246421 in Denton, Maryland

Provider Information

NPI Number
1699246421
Entity Type
Individual
Name
Jody Lynn Wagner, MS CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MS CCC-SLP
Enumeration Date
Dec 5, 2018
Last Updated
Dec 5, 2018

Practice Location

Address
204 MARKET STREET
City
Denton
ZIP Code
21629
Phone
(410) 479-3146

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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