Individual
JENNIFER E BAGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
43 RIVES RD, SUITE B, PETERSBURG, VA 23805-9255
(804) 732-1527
(804) 731-8210
Mailing address
PO BOX 1997, PETERSBURG, VA 23805-0997
(804) 732-1527
(804) 732-8210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006866
VA
Other
Enumeration date
01/28/2009
Last updated
03/10/2009
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