Individual
KATELYN BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1900 BYRD AVE, RICHMOND, VA 23230-3033
(434) 480-1097
Mailing address
1900 BYRD AVE, RICHMOND, VA 23230-3033
(434) 480-1097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904018104
VA
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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