Individual
EBONI BUGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
233 4TH ST NW STE W, CHARLOTTESVILLE, VA 22903-4593
(434) 202-7692
(434) 202-7694
Mailing address
233 4TH ST NW STE W, CHARLOTTESVILLE, VA 22903-4593
(434) 202-7692
(434) 202-7694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008087
VA
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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