Individual
TREVOR ARTHUR WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8430 PATSY LN, GOLDEN VALLEY, MN 55427-3862
(763) 670-2864
Mailing address
8430 PATSY LN, GOLDEN VALLEY, MN 55427-3862
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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