Bagwell, Jennifer Miller

Bagwell, Jennifer Miller is an sole proprietor health care provider with primary practice located at 4440 Pga Blvd Ste 202 , Palm Beach Gardens FL 33410. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bagwell, Jennifer Miller can be contacted via phone (954) 465-6988.

Contact Information

Primary practice address
4440 Pga Blvd Ste 202 Palm Beach Gardens FL 33410
Phone: (954) 465-6988
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW6366 Florida

Profile Details

NPI number 1790994598
LBN Legal business name Bagwell, Jennifer Miller
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Aug 23rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790994598 NPPES
Florida Other Z021X BCBS

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