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FELICIA RENIA BAGLEY AT

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1528295383

Individual Registrant:
 FELICIA RENIA BAGLEY AT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
824 W MAIN ST  MAGNOLIA, AR 71753-3316 US
Tel: 870-234-0495  Fax: 870-234-9481

Contact information for business:
5537 BLEAUX AVE  SPRINGDALE, AR 72762-0737 US
Tel: 479-872-5580  Fax: 479-872-5581

Registration Information:
NPI: 1528295383
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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