Amanda Justine Bagnall

NPI #1225630858 in Wheaton, Illinois

Provider Information

NPI Number
1225630858
Entity Type
Individual
Name
Amanda Justine Bagnall
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Enumeration Date
Nov 9, 2020
Last Updated
Nov 11, 2020

Practice Location

Address
2100 MANCHESTER RD STE 602
ZIP Code
60187-4587
Phone
(630) 480-0060

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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