Bethany Cheryl Bagnell, BSW

NPI #1508270489 in Manassas Park, Virginia

Provider Information

NPI Number: 1508270489
Entity Type: Individual
Name: Bethany Cheryl Bagnell, BSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: BSW
Enumeration Date: Jun 18, 2014
Last Updated: Jun 18, 2014

Practice Location

Address: 125 MARKET ST
Address 2: APT. 242
City: Manassas Park
State: Virginia
ZIP Code: 20111-3212
Phone: (703) 585-3040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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