Individual
KATIE BAGHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
204 HATHAWAY PARK, LEBANON, PA 17042-6162
(717) 274-9777
Mailing address
204 HATHAWAY PARK, LEBANON, PA 17042-6162
(717) 274-9777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CW016981
PA
Other
Enumeration date
07/31/2011
Last updated
07/31/2011
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