Lily S Wagner, MSW, LICSW Valid NPI
Individual provider · Clinical Social Worker · Baxter, MN
- NPI
- 1366172066
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 24788 (MN)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2022-06-15
- Last updated
- 2022-06-15
Practice location
7251 Excelsior Rd
Baxter, MN 56425-8477
(218) 454-0878