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1366001281
FELICIA IRIS BAGLEY
LEAVENWORTH, KS
NPI
1366001281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 11312)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
FELICIA IRIS BAGLEY
1939 4TH AVE
LEAVENWORTH, KS 66048-3836
Phone number: 832-492-6488
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Mailing Address
FELICIA IRIS BAGLEY
1939 4TH AVE
LEAVENWORTH, KS 66048-3836
Phone number: 832-492-6488
Copy
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