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Individual

MRS. DOROTHY WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1610 14TH ST NW STE 301, ROCHESTER, MN 55901-0229
(507) 419-4347
(507) 607-8789
Mailing address
1610 14TH ST NW STE 301, ROCHESTER, MN 55901-0229
(507) 419-4347
(507) 607-8789

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20597
MN

Other

Enumeration date
02/28/2012
Last updated
04/15/2024
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