Individual
SHARIE BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 E 2ND ST STE 1, LONG BEACH, CA 90803-5311
(562) 439-6244
Mailing address
4720 E 2ND ST STE 1, LONG BEACH, CA 90803-5311
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA 860
CA
Other
Enumeration date
02/28/2010
Last updated
02/28/2010
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