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1609398106
JILL BUMGARDNER
GASTONIA, NC
NPI
1609398106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C012584)
Enumeration Date
2017-07-17
Last Update Date
2020-05-27
Business Address
JILL BUMGARDNER LCSW
609 N HIGHLAND ST
GASTONIA, NC 28052-2179
Phone number: 704-874-9005
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Mailing Address
JILL BUMGARDNER LCSW
200 E 2ND AVE
GASTONIA, NC 28052-4358
Phone number: 1704-874-1904
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