Bagby, Mary M
Bagby, Mary M is an sole proprietor health care provider with primary practice located at 6103 Lorcom Ct , Springfield VA 22152-1320. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bagby, Mary M can be contacted via phone (703) 569-8518.Contact Information
Primary practice address
6103 Lorcom Ct
Springfield VA 22152-1320
Phone: (703) 569-8518
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701002092 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCO971 | Maryland |
Profile Details
| NPI number | 1710923180 |
|---|---|
| LBN Legal business name | Bagby, Mary M |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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