Individual
MRS. WILHELMINA BAGSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2191 TULEY DR, DOUGLASVILLE, GA 30135-7901
(678) 978-6813
Mailing address
2191 TULEY DR, DOUGLASVILLE, GA 30135-7901
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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