Individual
MRS. LINDA BAILEY HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1814 LAKEFIELD CT SE, SUITE A, CONYERS, GA 30013-1776
(770) 922-4770
(770) 922-4993
Mailing address
1814 LAKEFIELD CT SE, SUITE A, CONYERS, GA 30013-1776
(770) 922-4770
(770) 922-4993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000321
GA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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