MICHAEL EDWARD BAGLEY

MODESTO, CA
NPI1396868295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  5819)
Enumeration Date2007-04-08
Last Update Date2019-07-31
Business Address
Mr. MICHAEL EDWARD BAGLEY SUDCC 2
1028 RENO AVE
MODESTO, CA 95351-1127
Phone number: 209-579-1103
Mailing Address
Mr. MICHAEL EDWARD BAGLEY SUDCC 2
1305 OAKRIDGE DR
MODESTO, CA 95351-4847
Phone number: 209-402-0216
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