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Organization
JENNIFER BAGWELL LLC
Active
Organization
JENNIFER BAGWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER M BAGWELL LCSW (OWNER)
(954) 465-6988
Entity
Organization
Contact information
Practice address
4440 PGA BLVD STE 202, PALM BEACH GARDENS, FL 33410-6540
(954) 465-6988
(561) 249-3709
Mailing address
7511 LADSON TER, LAKE WORTH, FL 33467-7725
(954) 465-6988
(561) 249-3709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6366
FL
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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