NICOLE M WAGNER

SEAFORD, DE
NPI1750505400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: DE  01-0000578)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- NICOLE M WAGNER M.A., CCC-SLP
715 E KING ST
SEAFORD, DE 19973-3505
Phone number: 302-628-3000
Mailing Address
-- NICOLE M WAGNER M.A., CCC-SLP
27530 TROTTERS RUN
SALISBURY, MD 21801-1819
Phone number: 410-742-2979
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