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1033547757
YOCHEVED WAGNER
LAKEWOOD, NJ
NPI
1033547757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41ys00529700)
Enumeration Date
2013-10-15
Last Update Date
2013-10-15
Business Address
-- YOCHEVED WAGNER M.A., CCC-SLP
414 MELVILLE AVE
LAKEWOOD, NJ 08701-4870
Phone number: 732-901-1395
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Mailing Address
-- YOCHEVED WAGNER M.A., CCC-SLP
414 MELVILLE AVE
LAKEWOOD, NJ 08701-4870
Phone number: 732-901-1395
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