Amanda Bagwell

NPI #1487937389 in Hernando, Mississippi

Provider Information

NPI Number
1487937389
Entity Type
Individual
Name
Amanda Bagwell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Sep 27, 2011
Last Updated
Sep 27, 2011

Practice Location

Address
2725 HIGHWAY 51 S
ZIP Code
38632-2634
Phone
(662) 443-1808

Specialties & Taxonomy Codes

Specialty
Counselor

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