Organization
EASTWEST COUNSELING AND CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY WAGNER MSW, LICSW (THERAPIST)
(218) 537-8680
Entity
Organization
Contact information
Practice address
18510 MN-371, SUITE A, BRAINERD, MN 56401
(218) 537-8680
Mailing address
18510 MN-371, SUITE A, BRAINERD, MN 56401
(218) 537-8680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
01/19/2024
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