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1033142179
KATHLEEN T. BAGBY
ROANOKE, VA
NPI
1033142179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904001807)
Enumeration Date
2006-07-09
Last Update Date
2007-07-08
Business Address
-- KATHLEEN T. BAGBY LCSW
4220 CYPRESS PARK DR SUITE B
ROANOKE, VA 24018-8440
Phone number: 540-772-1872
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Mailing Address
-- KATHLEEN T. BAGBY LCSW
133 27TH ST SE
ROANOKE, VA 24014-3307
Phone number: 540-343-3389
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