ALYSSA WAGNER

SOUTHFIELD, MI
NPI1639671688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MI  7101004736)
Enumeration Date2018-03-06
Last Update Date2018-03-06
Business Address
ALYSSA WAGNER
16001 W 9 MILE RD
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-3311
Mailing Address
ALYSSA WAGNER
16490 OLD BEDFORD RD
NORTHVILLE, MI 48168-2067
Phone number:
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