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1285399576
LAFAYETTE R BAGLEY
CHICAGO, IL
NPI
1285399576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.026408)
Enumeration Date
2021-11-02
Last Update Date
2024-02-02
Business Address
LAFAYETTE R BAGLEY LCSW
2071 N SOUTHPORT AVE
CHICAGO, IL 60614-4015
Phone number: 312-761-4707
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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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