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1639430069
ADAM DAVIS BAGLEY
CANTON, GA
NPI
1639430069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA MFT001240)
Enumeration Date
2012-06-01
Last Update Date
2012-06-01
Business Address
MR. ADAM DAVIS BAGLEY LMFT
24 WALESKA ST STE 100
CANTON, GA 30114-2739
Phone number: 470-253-7252
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Mailing Address
MR. ADAM DAVIS BAGLEY LMFT
PO BOX 4426
CANTON, GA 30114-0200
Phone number: 800-397-1710
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