Individual
MADALLYN WARNER BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
390 N MADISON AVE, GREENWOOD, IN 46142-2300
(317) 779-7574
(317) 215-5766
Mailing address
390 N MADISON AVE, GREENWOOD, IN 46142-2300
(317) 779-7574
(317) 215-5766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008629A
IN
Other
Enumeration date
09/04/2019
Last updated
02/16/2024
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