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Individual

MR. MICHAEL EDWARD BAGGALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2400 BURDICK EXPY E STE 101, MINOT, ND 58701-5006
(801) 349-0464
Mailing address
701 19TH AVE SE APT 11, MINOT, ND 58701-6733
(801) 349-0464

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5139730-3501
UT
1041C0700X
Clinical Social Worker
Primary
6240
ND

Other

Enumeration date
07/07/2006
Last updated
03/29/2022
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