BREANNA WAGNER

EDEN PRAIRIE, MN
NPI1083120984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-12-14
Last Update Date2017-12-14
Business Address
BREANNA WAGNER
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN 55344-3801
Phone number: 952-746-2522
Mailing Address
BREANNA WAGNER
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number:
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