Lily S Wagner, MSW, LICSW

NPI #1366172066 in Baxter, Minnesota

Provider Information

NPI Number
1366172066
Entity Type
Individual
Name
Lily S Wagner, MSW, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW, LICSW
Enumeration Date
Jun 15, 2022
Last Updated
Jun 15, 2022

Practice Location

Address
7251 EXCELSIOR RD
City
Baxter
ZIP Code
56425-8477
Phone
(218) 454-0878

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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