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1740788397
LESLIE WAGNER
BALTIMORE, MD
NPI
1740788397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MD 03853)
Enumeration Date
2018-01-30
Last Update Date
2018-01-30
Business Address
LESLIE WAGNER MS, CCC/SLP
3501 TAYLOR AVE
BALTIMORE, MD 21236-4406
Phone number: 410-444-5000
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Mailing Address
LESLIE WAGNER MS, CCC/SLP
208 HOPKINS RD
BALTIMORE, MD 21212-1817
Phone number: 443-286-6926
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