Individual
TONI MICHELLE BAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
110 S WILLIAMS ST STE A, ANAMOSA, IA 52205-1839
(319) 462-4327
Mailing address
110 S WILLIAMS ST STE A, ANAMOSA, IA 52205-1839
(319) 462-4327
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
10/18/2021
Last updated
09/18/2023
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