LAFAYETTE R BAGLEY

CHICAGO, IL
NPI1285399576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.026408)
Enumeration Date2021-11-02
Last Update Date2024-02-02
Business Address
LAFAYETTE R BAGLEY LCSW
2071 N SOUTHPORT AVE
CHICAGO, IL 60614-4015
Phone number: 312-761-4707
Mailing Address
LAFAYETTE R BAGLEY LCSW
6450 N BELL AVE APT 1
CHICAGO, IL 60645-5583
Phone number: 312-731-3625
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