Individual
ANNA BAGNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLC
Contact information
Practice address
145 ROCHDALE DR S, ROCHESTER HILLS, MI 48309-2275
(248) 631-4942
Mailing address
145 ROCHDALE DR S, ROCHESTER HILLS, MI 48309-2275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022959
MI
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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