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Individual

MR. STEPHEN VAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
13021 EVERGREEN DR, BAXTER, MN 56425-7439
(218) 829-9307
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1531
MN

Other

Enumeration date
04/14/2008
Last updated
10/07/2008
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