Individual
AUDRIANA BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
17025 COMMERCIAL PARK RD UNIT 6, BRAINERD, MN 56401-6254
(218) 454-3968
Mailing address
17025 COMMERCIAL PARK RD UNIT 6, BRAINERD, MN 56401-6254
(218) 454-3968
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23732
MN
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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