Individual
MS. CONNIE DENISE BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
105 WESTLAND ST, SAN ANGELO, TX 76901-3051
(325) 340-4020
Mailing address
PO BOX 117, VAN, TX 75790-0117
(903) 241-5162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13872
TX
Other
Enumeration date
09/19/2015
Last updated
09/19/2015
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