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1063446409
DEBRA SMITH WAGNER
MINNEAPOLIS, MN
NPI
1063446409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 14470)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
-- DEBRA SMITH WAGNER MSW
MINNEAPOLIS VAMC-122 ONE VETERANS DRIVE
MINNEAPOLIS, MN 55417
Phone number: 612-725-2042
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Mailing Address
-- DEBRA SMITH WAGNER MSW
12918 HAMLET AVE
APPLE VALLEY, MN 55124-9730
Phone number: 952-454-3433
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