Individual
MRS. CARSON BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20311 CENTRAL AVE W, BLOUNTSTOWN, FL 32424-1947
(850) 674-8888
Mailing address
16006 SW WOODROW SMITH RD, BLOUNTSTOWN, FL 32424-3941
(850) 643-6850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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