TRACIE WAGNER

BALTIMORE, MD
NPI1851804363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MD  05722)
Enumeration Date2017-11-07
Last Update Date2017-11-07
Business Address
TRACIE WAGNER
6451 N CHARLES ST
BALTIMORE, MD 21212-1010
Phone number: 877-407-3422
Mailing Address
TRACIE WAGNER
7 CARNEGIE PLZ
CHERRY HILL, NJ 08003-1000
Phone number: 877-407-3422