STEPHANIE WAGNER

FAIRPORT, NY
NPI1104291574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  0217691)
Enumeration Date2015-12-09
Last Update Date2015-12-09
Business Address
-- STEPHANIE WAGNER
1387 FAIRPORT RD
FAIRPORT, NY 14450-2003
Phone number: 585-641-0304
Mailing Address
-- STEPHANIE WAGNER
1387 FAIRPORT RD
FAIRPORT, NY 14450-2003
Phone number:
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