License holder summary

KELLY ANNE WAGNER is a Idaho Speech And Hearing Services Licensure Board - Speech Language Pathologist licensed to practice in Idaho. The address on file for KELLY ANNE WAGNER is NAMPA ID 83686. This licensed professional license is current. The license was granted 07/16/2015 and expired on 12/19/2016.

Idaho

Division of Occupational and Professional Licenses

KELLY ANNE WAGNER
Idaho Speech And Hearing Services Licensure Board - Speech Language Pathologist
License number
SLP - 2775
Date granted
07/16/2015
Date expires
12/19/2016
Class
Idaho Speech And Hearing Services Licensure Board - Speech Language Pathologist
Status
Current
Address
NAMPA ID 83686
idaholicensing.com
ID 43736786
LAST UPDATED 2024-04-01 09:51:03 UTC

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