KELLY SUSAN WAGNER

BALTIMORE, MD
NPI1013570746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2019-04-18
Last Update Date2019-04-18
Business Address
KELLY SUSAN WAGNER M.S., CCC-SLP
8902 OLD HARFORD RD
BALTIMORE, MD 21234-2646
Phone number: 443-829-0399
Mailing Address
KELLY SUSAN WAGNER M.S., CCC-SLP
3981 FOREST VALLEY RD
PARKVILLE, MD 21234-1433
Phone number: 443-829-0399