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Individual
JENNA L BAGNINI
Active
Individual
JENNA L BAGNINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108810-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108810-01
REGISTRATION CERTIFICATE
NY
Enumeration date
01/26/2021
Last updated
01/26/2021
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