CLUSSIE BAGBY

RENTON, WA
NPI1174214076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-05-19
Last Update Date2023-05-19
Business Address
Mr. CLUSSIE BAGBY
15 S GRADY WAY STE 245
RENTON, WA 98057-3209
Phone number: 206-679-8291
Mailing Address
Mr. CLUSSIE BAGBY
15 S GRADY WAY STE 245
RENTON, WA 98057-3209
Phone number: 206-679-8291