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1710262563
KIRSTEN A BAGLEY
BOISE, ID
NPI
1710262563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-34554)
Enumeration Date
2011-10-12
Last Update Date
2015-08-24
Business Address
-- KIRSTEN A BAGLEY LCSW
2273 S VISTA AVE #190
BOISE, ID 83705-7341
Phone number: 208-343-2737
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Mailing Address
-- KIRSTEN A BAGLEY LCSW
1349 N WILDWOOD ST APT 101
BOISE, ID 83713-5455
Phone number: 208-329-0972
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