Individual
LORA RUTH BAGUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
201 N BROAD ST STE 200, MANKATO, MN 56001-3569
(507) 225-1501
Mailing address
201 N BROAD ST STE 200, MANKATO, MN 56001-3569
(507) 225-1501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
17322
MN
1041C0700X
Clinical Social Worker
Primary
17322
MN
Other
Enumeration date
01/25/2011
Last updated
09/13/2021
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