Debra Smith Wagner MSW

NPI 1063446409 - Social Worker - 1041C0700X

NPI Details
NPI 1063446409
Gender Female
Enumeration Date 07/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
MINNEAPOLIS VAMC-122
ONE VETERANS DRIVE
MINNEAPOLIS MN, 55417, US
Phone (612) 725-2042
Fax (612) 725-2126
Business Location
12918 HAMLET AVE
APPLE VALLEY MN, 55124-9730, US
Phone (952) 454-3433
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 14470
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According to our database, Debra Smith Wagner MSW NPI is 1063446409, taxonomy code is 1041C0700X and license number is 14470, license state is located at Minnesota. Debra Smith Wagner MSW physically located at Minneapolis Vamc-122, Minneapolis MN, 55417. NPI Number Debra Smith Wagner MSW has the Individual type.

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1063446409 NPI number is provided on an as is basis without warranty of any kind. 1063446409 is maintained by the National Plan & Provider Enumeration System. The contents of Debra Smith Wagner MSW are for informational purposes only.