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Individual

DR. DANIEL MARC BAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
11200 SW 8TH ST FIU CENTER FOR CHILDREN AND FAMILIES, MIAMI, FL 33199-2659
(305) 348-7548
Mailing address
11200 SW 8TH ST FIU CENTER FOR CHILDREN AND FAMILIES, MIAMI, FL 33199-0001
(305) 348-7548

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS01079
RI
103TC2200X
Clinical Child & Adolescent Psychologist
PY8047
FL

Other

Enumeration date
07/24/2008
Last updated
08/02/2019
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