Individual
RACHAEL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 SHINGLE CREEK PKWY STE 661, BROOKLYN CENTER, MN 55430-2486
(952) 303-5803
Mailing address
5701 SHINGLE CREEK PKWY STE 661, BROOKLYN CENTER, MN 55430-2486
(952) 303-5803
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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