JEAN MARIE WAGNER

LAKEVILLE, MN
NPI1730629361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: MN  3028)
Enumeration Date2017-03-01
Last Update Date2017-03-01
Business Address
-- JEAN MARIE WAGNER LMFT
7580 160TH ST W
LAKEVILLE, MN 55044-8348
Phone number: 952-564-6276
Mailing Address
-- JEAN MARIE WAGNER LMFT
16569 INTERLACHEN BLVD
LAKEVILLE, MN 55044-4601
Phone number: 612-414-9544