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1811391790
JANE NICOLL BUMGARNER
FREDERICKSBURG, VA
NPI
1811391790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904010276)
Enumeration Date
2014-10-21
Last Update Date
2018-01-19
Business Address
JANE NICOLL BUMGARNER LCSW
600 JACKSON ST
FREDERICKSBURG, VA 22401-5719
Phone number: 540-373-3223
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Mailing Address
JANE NICOLL BUMGARNER LCSW
600 JACKSON ST
FREDERICKSBURG, VA 22401-5719
Phone number: 540-373-3223
Copy
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