Leslie K Bagon, LCSW

NPI #1245298280 in Scappoose, Oregon

Provider Information

NPI Number
1245298280
Entity Type
Individual
Name
Leslie K Bagon, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 1, 2006
Last Updated
Oct 3, 2013

Practice Location

Address
51579 COLUMBIA RIVER HWY
Address 2
STE 'I'
State
Oregon
ZIP Code
97056-8411
Phone
(503) 543-6164

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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