MS. Mary M Bagby, LPC

NPI #1710923180 in Springfield, Virginia

Provider Information

NPI Number: 1710923180
Entity Type: Individual
Name: MS. Mary M Bagby, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jun 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6103 LORCOM CT
City: Springfield
State: Virginia
ZIP Code: 22152-1320
Phone: (703) 569-8518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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