MIRIAM ELIZABETH WAGNER

LAURENS, SC
NPI1720367147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: SC  4351)
Enumeration Date2011-08-16
Last Update Date2013-04-30
Business Address
Mrs. MIRIAM ELIZABETH WAGNER MS CCC-SLP
301 PINEHAVEN STREET EXT
LAURENS, SC 29360-2671
Phone number: 864-984-6584
Mailing Address
Mrs. MIRIAM ELIZABETH WAGNER MS CCC-SLP
301 PINEHAVEN STREET EXT
LAURENS, SC 29360-2671
Phone number: 864-984-6584