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1215173729
ELISE MELANIE WAGNER
NEW YORK, NY
NPI
1215173729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 011331-1)
Enumeration Date
2009-01-05
Last Update Date
2009-01-05
Business Address
-- ELISE MELANIE WAGNER MS, CCC-SLP
333 E 41ST ST #1D
NEW YORK, NY 10017-5956
Phone number: 212-972-3691
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Mailing Address
-- ELISE MELANIE WAGNER MS, CCC-SLP
333 E 41ST ST #1D
NEW YORK, NY 10017-5956
Phone number: 212-972-3691
Copy
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