Individual
KRISTEN BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
3301 SALTERBECK ST STE 101, MOUNT PLEASANT, SC 29466-7165
(516) 822-4060
(516) 396-0559
Mailing address
3301 SALTERBECK ST STE 101, MOUNT PLEASANT, SC 29466-7165
(843) 670-9423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
076026
NY
1041C0700X
Clinical Social Worker
Primary
16034
SC
Other
Enumeration date
11/16/2006
Last updated
03/10/2025
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