TARA BAGNOLA

Social Worker - Clinical

Active Individual
NPI: 1104568021

Practice Address

361 PARK AVE
Glencoe, IL 60022

Phone: (773) 828-0127

Specialties

Specialty Code Primary License
Social Worker 104100000X No -
Social Worker - Clinical 1041C0700X Yes 149026008 (IL)

Frequently Asked Questions

NPI 1104568021 is the National Provider Identifier for TARA BAGNOLA, a Social Worker - Clinical provider located in Glencoe, IL. This NPI was enumerated on April 11, 2022.
TARA BAGNOLA practices at 361 PARK AVE, Glencoe, IL 60022.

Quick Facts

NPI
1104568021
Type
Individual
Enumerated
Apr 11, 2022
Last Updated
Oct 19, 2023

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