Individual
EMI ELIZABETH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5215 EDINA INDUSTRIAL BLVD STE 200, MINNEAPOLIS, MN 55439-2926
(320) 333-5277
Mailing address
5215 EDINA INDUSTRIAL BLVD STE 200, MINNEAPOLIS, MN 55439-2926
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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