Individual
DANIEL BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8675 W ARDENE ST, BOISE, ID 83709-2601
(208) 780-3900
(208) 375-2882
Mailing address
4703 W KENDALL ST, BOISE, ID 83706-2224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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