Individual
JOHN N. BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
108 N MAIN ST, RICHFIELD, UT 84701-2168
(435) 896-0535
Mailing address
108 N MAIN ST, RICHFIELD, UT 84701-2168
(435) 896-0535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104918-3501
UT
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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