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Individual

EMILY WIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
1205 12TH AVE N APT 4, MOORHEAD, MN 56560-1655
(612) 399-6011
Mailing address
7525 MITCHELL RD, EDEN PRAIRIE, MN 55344-1959

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28132
MN

Other

Enumeration date
08/26/2021
Last updated
12/08/2021
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