MRS. Miriam Elizabeth Wagner, MS CCC-SLP
NPI #1720367147 in Laurens, South Carolina
Provider Information
- NPI Number
- 1720367147
- Entity Type
- Individual
- Name
- MRS. Miriam Elizabeth Wagner, MS CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS CCC-SLP
- Enumeration Date
- Aug 16, 2011
- Last Updated
- Apr 30, 2013
Practice Location
- Address
- 301 PINEHAVEN STREET EXT
- City
- Laurens
- State
- South Carolina
- ZIP Code
- 29360-2671
- Phone
- (864) 984-6584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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