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Individual
KIMBERLY LYN BAGGETT
Active
Individual
KIMBERLY LYN BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1897M
AR
104100000X
Social Worker
42657
TX
1041C0700X
Clinical Social Worker
Primary
42657
TX
Other
Enumeration date
09/15/2006
Last updated
04/26/2011
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