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1013570746
KELLY SUSAN WAGNER
BALTIMORE, MD
NPI
1013570746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2019-04-18
Last Update Date
2019-04-18
Business Address
KELLY SUSAN WAGNER M.S., CCC-SLP
8902 OLD HARFORD RD
BALTIMORE, MD 21234-2646
Phone number: 443-829-0399
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Mailing Address
KELLY SUSAN WAGNER M.S., CCC-SLP
3981 FOREST VALLEY RD
PARKVILLE, MD 21234-1433
Phone number: 443-829-0399
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