Organization
BRIGITA SUNSHYNE BAUMGARDNER LCSW PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGITA SUNSHYNE BAUMGARDNER LCSW (PRESIDENT)
(203) 505-1293
Entity
Organization
Contact information
Practice address
200 VALENCIA DR, SUITE 101, JACKSONVILLE, NC 28546-6311
(203) 505-1293
(910) 355-2871
Mailing address
200 VALENCIA DR, SUITE 101, JACKSONVILLE, NC 28546-6311
(203) 505-1293
(910) 355-2871
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007011
NC
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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