Individual
MR. ADAM DAVIS BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
24 WALESKA ST STE 100, CANTON, GA 30114-2739
(470) 253-7252
Mailing address
PO BOX 4426, CANTON, GA 30114-0200
(800) 397-1710
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001240
GA
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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