MARITA LOANE WAGNER

PHILADELPHIA, PA
NPI1144501446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: PA  SL002107L)
Enumeration Date2011-08-31
Last Update Date2011-08-31
Business Address
Miss MARITA LOANE WAGNER CCC-SLP
114 W ALLENS LN
PHILADELPHIA, PA 19119-4102
Phone number: 215-247-4034
Mailing Address
Miss MARITA LOANE WAGNER CCC-SLP
114 W ALLENS LN
PHILADELPHIA, PA 19119-4102
Phone number: 215-247-4034
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