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1750861639
AUDREY WAGNER
FEDERAL WAY, WA
NPI
1750861639
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Former Name
AUDREY EUBANKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL60973136)
Enumeration Date
2018-08-20
Last Update Date
2023-11-09
Business Address
AUDREY WAGNER MS, CCC-SLP
34515 9TH AVE S
FEDERAL WAY, WA 98003-6761
Phone number: 253-944-7970
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Mailing Address
AUDREY WAGNER MS, CCC-SLP
35535 6TH AVE SW
FEDERAL WAY, WA 98023-8110
Phone number: 253-874-5445
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