Jennifer E Bagsby, LCSW
Social Worker, Clinical in Petersburg, VA. Individual provider (NPI-1).
NPI number1457599524
StatusActive
Last updated in NPPESMar 10, 2009
Details
- NPI
- 1457599524
- Entity type
- Individual (NPI-1)
- Name
- Jennifer E Bagsby
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2009
- Last updated
- Mar 10, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904006866 | VA | Yes |
Practice location
43 Rives RdSuite B
Petersburg, VA 23805-9255
Phone 804-732-1527 · Fax 804-731-8210
Mailing address
Po Box 1997Petersburg, VA 23805-0997
Phone 804-732-1527 · Fax 804-732-8210
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