Individual
BETHANY CHERYL BAGNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
125 MARKET ST, APT. 242, MANASSAS PARK, VA 20111-3212
(703) 585-3040
Mailing address
125 MARKET ST, APT. 242, MANASSAS PARK, VA 20111-3212
(703) 585-3040
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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