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1366172066
LILY S WAGNER
BAXTER, MN
NPI
1366172066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 24788)
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
LILY S WAGNER MSW, LICSW
7251 EXCELSIOR RD
BAXTER, MN 56425-8477
Phone number: 218-454-0878
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Mailing Address
LILY S WAGNER MSW, LICSW
PO BOX 2506
BAXTER, MN 56425-2506
Phone number: 218-454-0878
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