Individual
ANDREA BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10432 PATRIOT HWY, FREDERICKSBURG, VA 22408-2628
(301) 609-2062
Mailing address
4707 QUIET WOODS LN APT E, FAIRFAX, VA 22033-5045
(301) 609-2062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
02/27/2025
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