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1720293723
LESLIE WAGNER
NEW YORK, NY
NPI
1720293723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 012587-1)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- LESLIE WAGNER MS,CCC
55 TIEMANN PL APT # 55
NEW YORK, NY 10027-3332
Phone number: 212-662-7584
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Mailing Address
-- LESLIE WAGNER MS,CCC
55 TIEMANN PL APT # 55
NEW YORK, NY 10027-3332
Phone number: 212-662-7584
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