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1871239293
KAITLYNN NICOLE WAGNER
ALEXANDRIA, VA
NPI
1871239293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 031767)
Enumeration Date
2022-05-09
Last Update Date
2022-05-09
Business Address
Ms. KAITLYNN NICOLE WAGNER CCC-SLP
900 VIRGINIA AVE
ALEXANDRIA, VA 22302-3200
Phone number: 703-684-9100
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Mailing Address
Ms. KAITLYNN NICOLE WAGNER CCC-SLP
306 ALVERSON AVE
STATEN ISLAND, NY 10309-1787
Phone number: 347-215-0165
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