ALEXANDRA LEIGH WAGENER

MINNEAPOLIS, MN
NPI1275848715
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: KS  T-LMLP 1332)
Enumeration Date2010-08-09
Last Update Date2012-07-18
Business Address
ALEXANDRA LEIGH WAGENER M.A.
5105 WOODLAWN BLVD
MINNEAPOLIS, MN 55417-1349
Phone number: 612-710-1872
Mailing Address
ALEXANDRA LEIGH WAGENER M.A.
5105 WOODLAWN BLVD
MINNEAPOLIS, MN 55417-1349
Phone number: