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Patricia Denise Bagwell

NPI Registration Record

Provider / OrganizationNPIDate Certified
PATRICIA DENISE BAGWELL14377513102020-11-15
Entity TypeIndividual
Provider NameMrs. Patricia Denise Bagwell LCMHC
Practice Office Address3929 TINSLEY DR STE 104
HIGH POINT, NC US
Practice Office Telephone3368414307
Mailing Address3908 SIENA TER
GREENSBORO, NC 274109752 US
Business Telephone3366018025
HPT Codes
CodeLicense NoState
101YM0800X PRIMARY13544 NC
OPI Codes

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