Lily K Wagner
NPI #1316783970 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1316783970
- Entity Type
- Individual
- Name
- Lily K Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 3, 2024
- Last Updated
- Jul 3, 2024
Practice Location
- Address
- 1701 CURVE CREST BLVD W STE 104
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6181
- Phone
- (651) 342-1883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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