Individual
CHELSEA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4432 CHICAGO AVE, MINNEAPOLIS, MN 55407-3519
(763) 744-6235
Mailing address
3609 GRAND AVE S, MINNEAPOLIS, MN 55409-1189
(763) 744-6235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24887
MN
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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