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1063248961
BIANCA BAGDON
MERIDIAN, ID
NPI
1063248961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-7461174)
Enumeration Date
2024-09-09
Last Update Date
2024-09-09
Business Address
BIANCA BAGDON LPC
2068 S EAGLE RD
MERIDIAN, ID 83642-6707
Phone number: 208-340-1688
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Mailing Address
BIANCA BAGDON LPC
7537 E TOUSSAND DR
NAMPA, ID 83687-5630
Phone number:
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