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1063814804
EBONI BUGG
CHARLOTTESVILLE, VA
NPI
1063814804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904008087)
Enumeration Date
2014-09-24
Last Update Date
2014-09-24
Business Address
-- EBONI BUGG LCSW
233 4TH ST NW STE W
CHARLOTTESVILLE, VA 22903-4593
Phone number: 434-202-7692
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Mailing Address
-- EBONI BUGG LCSW
233 4TH ST NW STE W
CHARLOTTESVILLE, VA 22903-4593
Phone number: 434-202-7692
Copy
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