Individual
MISS MEGAN MARIE WILGENBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
300 11TH AVE NW STE 112, ROCHESTER, MN 55901-2739
(507) 295-4907
Mailing address
300 11TH AVE NW STE 112, ROCHESTER, MN 55901-2739
(507) 295-4907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304206
MN
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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