Individual
ERIN LYNN BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
4239 FARNAM ST STE 710, OMAHA, NE 68131-2803
(402) 552-6007
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5119
NE
1041C0700X
Clinical Social Worker
149.013598
IL
Other
Enumeration date
02/23/2015
Last updated
10/14/2018
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