Individual
ROBERT LEE BANGERT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
645 PENNSYLVANIA AVE SE STE 104, WASHINGTON, DC 20003-4379
(202) 207-2360
Mailing address
645 PENNSYLVANIA AVE SE STE 104, WASHINGTON, DC 20003-4379
(202) 207-2360
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50081670
DC
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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