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Contact Information

LAKISHA BAGLEY
2041 HAMILTON PL
BIRMINGHAM, AL35215-5841
 Phone: 205-218-2055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LAKISHA BAGLEY · (Female)

NPI # 1790250918
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2018
Last updated 04/17/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 3751G
  • AL License # 5306C
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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