Individual
LONDA SINNESS WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT, IMH-E
Contact information
Practice address
720 8TH AVE N, SAINT CLOUD, MN 56303-3420
(320) 407-1110
Mailing address
413 5TH AVE E, SARTELL, MN 56377-1264
(320) 333-2746
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2019
MN
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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