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1952589954
SUE A WAGNER
MILWAUKIE, OR
NPI
1952589954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP6677)
Enumeration Date
2008-02-01
Last Update Date
2008-02-01
Business Address
-- SUE A WAGNER MA CCC SLP
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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Mailing Address
-- SUE A WAGNER MA CCC SLP
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5149
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