HEIDI WAGNER

SIOUX FALLS, SD
NPI1922155704
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-01-04
Last Update Date2007-07-08
Business Address
-- HEIDI WAGNER MS
4400 W 69TH ST
SIOUX FALLS, SD 57108-8170
Phone number: 605-322-4065
Mailing Address
-- HEIDI WAGNER MS
4400 W 69TH ST
SIOUX FALLS, SD 57108-8170
Phone number: 605-322-4065