Andrew Bagley, SOCIAL WORKER

NPI 1104259860 · on the registry since 2013 · sole proprietor

Practice

Address: 1720 W Florist Ave Ste 125
Glendale, WI 53209
Phone: (414) 247-0801
Fax: (414) 247-0816
Organisation at this address: Dyno Energy Services Llc
Fresh Start Counseling Center
Sebastian Family Psycholgy Practice
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: Social Worker
104100000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-08-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin