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1386167708
KATHYRN ANN WAGNER
WILLMAR, MN
NPI
1386167708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301935)
Enumeration Date
2017-07-18
Last Update Date
2024-05-17
Business Address
Ms. KATHYRN ANN WAGNER LADC
328 3RD ST SW
WILLMAR, MN 56201-3475
Phone number: 320-231-9763
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Mailing Address
Ms. KATHYRN ANN WAGNER LADC
328 3RD ST SW
WILLMAR, MN 56201-3475
Phone number: 320-231-9763
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