AMANDA WAGNER

BOCA RATON, FL
NPI1295090504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA11554)
Enumeration Date2012-07-12
Last Update Date2012-07-12
Business Address
-- AMANDA WAGNER
120 SE 5TH AVE APT 223
BOCA RATON, FL 33432-5072
Phone number: 570-573-0258
Mailing Address
-- AMANDA WAGNER
120 SE 5TH AVE APT 223
BOCA RATON, FL 33432-5072
Phone number:
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