License holder summary

MARITA L WAGNER is a Speech Language Pathologist licensed to practice in Pennsylvania. The address on file for MARITA L WAGNER is PHILADELPHIA PA 19119. This licensed professional license is current. The license was granted 11/06/1986 and expired on 07/31/2016.

Pennsylvania

Department of State

MARITA L WAGNER
Speech Language Pathologist
License number
SL002107L
Date granted
11/06/1986
Date expires
07/31/2016
Class
Speech Language Pathologist
Status
Active
Address
PHILADELPHIA PA 19119
palicensing.org
ID 17739769
LAST UPDATED 2024-03-24 21:49:19 UTC

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