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1023580800
S. BERNARD BAGLEY
FAYETTEVILLE, GA
NPI
1023580800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW007300)
Enumeration Date
2018-12-18
Last Update Date
2022-05-16
Business Address
S. BERNARD BAGLEY LCSW
148 GEORGIA AVE E STE C
FAYETTEVILLE, GA 30214-1616
Phone number: 404-968-4662
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Mailing Address
S. BERNARD BAGLEY LCSW
375 WINDERMERE CIR
NEWNAN, GA 30265-2278
Phone number:
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