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Individual

DR. ANN MARIE WAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LP

Contact information

Practice address
PO BOX 17141, MINNEAPOLIS, MN 55417-0141
(612) 581-8459
Mailing address
PO BOX 14171, MINNEAPOLIS, MN 55417
(612) 581-8459

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4216
MN

Other

Enumeration date
06/01/2006
Last updated
11/17/2025
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