LILY S WAGNER

BAXTER, MN
NPI1366172066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MN  24788)
Enumeration Date2022-06-15
Last Update Date2022-06-15
Business Address
LILY S WAGNER MSW, LICSW
7251 EXCELSIOR RD
BAXTER, MN 56425-8477
Phone number: 218-454-0878
Mailing Address
LILY S WAGNER MSW, LICSW
PO BOX 2506
BAXTER, MN 56425-2506
Phone number: 218-454-0878
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