LYLE WALTER WAGNER, PHD, LP
Social Work at Coon Rapids Blvd, Minneapolis, MN

License number
Minnesota 5751
Category
Social Work
Type
Clinical
Address
Address 2
3907 Coon Rapids Blvd NW, Minneapolis, MN 55433
220 Railroad St SE, West Rock, MN 55063
Phone
(320) 629-7600
(651) 925-0071 (Fax)
National Provider ID: 1649683939
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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