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1184134553
WADE JAMES BAGLEY
LUBBOCK, TX
NPI
1184134553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 34686)
Enumeration Date
2017-10-11
Last Update Date
2017-10-30
Business Address
Mr. WADE JAMES BAGLEY LCDCI
1715 26TH ST
LUBBOCK, TX 79411-1524
Phone number: 806-780-8300
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Mailing Address
Mr. WADE JAMES BAGLEY LCDCI
1715 26TH ST
LUBBOCK, TX 79411-1524
Phone number: 806-780-8300
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