Individual
JILL BANGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
9811 MALLARD DR, SUITE 209, LAUREL, MD 20708
(301) 776-9492
(301) 625-0864
Mailing address
9811 MALLARD DR, 209, LAUREL, MD 20708
(301) 776-9492
(301) 625-0864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04549
MD
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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