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Individual

SARAH M WAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., L.M.F.T

Contact information

Practice address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(651) 254-0595
Mailing address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(651) 254-0595

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1973
MN

Other

Enumeration date
04/23/2012
Last updated
03/02/2021
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