SAMANTHA ROSE WAGNER

LONG ISLAND CITY, NY
NPI1053185405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  033514)
Enumeration Date2023-11-07
Last Update Date2024-05-02
Business Address
SAMANTHA ROSE WAGNER MA CCC-SLP TSSLD
4829 37TH ST
LONG ISLAND CITY, NY 11101-1903
Phone number: 646-621-1320
Mailing Address
SAMANTHA ROSE WAGNER MA CCC-SLP TSSLD
7850 83RD ST
GLENDALE, NY 11385-7641
Phone number: 718-366-1043
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