KATHLEEN WAGNER

ROSEVILLE, MN
NPI1841728581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  9873)
Enumeration Date2017-05-25
Last Update Date2017-05-25
Business Address
KATHLEEN WAGNER
1935 COUNTY ROAD B2 W STE 100
ROSEVILLE, MN 55113-2722
Phone number: 651-636-4155
Mailing Address
KATHLEEN WAGNER
114 118TH AVE NE
BLAINE, MN 55434-1929
Phone number: 320-491-6534
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