CASEY WAGNER

BRAINERD, MN
NPI1740777838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  24443)
Enumeration Date2018-04-16
Last Update Date2024-01-22
Business Address
CASEY WAGNER LICSW
18510 MN-371 SUITE A
BRAINERD, MN 56401
Phone number: 218-537-8680
Mailing Address
CASEY WAGNER LICSW
18510 MN-371 SUITE A
BRAINERD, MN 56401
Phone number: 218-269-2524