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Organization

PEGGY WOLNER, LICSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEGGY SUE WOLNER LICSW (CLINICAL SOCIAL WORKER)
(651) 327-2470
Entity
Organization

Contact information

Practice address
2000 OLD WEST MAIN STREET, SUITE 311, RED WING, MN 55066-1988
(651) 327-2470
Mailing address
2000 OLD WEST MAIN STREET, SUITE 311, RED WING, MN 55066-1988
(651) 327-2470

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
896
MN

Other

Enumeration date
04/29/2016
Last updated
04/29/2016
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