Wylie James Bagley

NPI 1598912792 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1598912792
Enumeration Date 08/19/2008
Last Updated 08/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name WYLIE JAMES WYLIE
Position LMFT
Phone (318) 791-1555
Fax (318) 343-3851
Practice Location
108 FILHIOL AVE
MONROE LA, 71203-3828, US
Phone (318) 791-1555
Fax (318) 343-3851
Business Location
224 HENDERSON RD
WEST MONROE LA, 71291-9409, US
Phone (318) 791-1555
Fax (318) 343-3851
Toxanomy
Taxonomy Code 106H00000X
License State Louisiana
License Number 1016
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According to our database, Wylie James Bagley NPI is 1598912792, taxonomy code is 106H00000X and license number is 1016, license state is located at Louisiana. Wylie James Bagley physically located at 108 Filhiol Ave, Monroe LA, 71203-3828. NPI Number 1033115704 has the healthcare provider type.

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1598912792 NPI number is provided on an as is basis without warranty of any kind. 1598912792 is maintained by the National Plan & Provider Enumeration System. The contents of Wylie James Bagley are for informational purposes only.