| Brigita Sunshyne Baumgardner Lcsw Pa | |
|
200 Valencia Dr Suite 101 Jacksonville NC 28546-6311 | |
| (203) 505-1293 | |
| (910) 355-2871 |
| Full Name | Brigita Sunshyne Baumgardner Lcsw Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 200 Valencia Dr, Jacksonville, North Carolina |
| Authorized Official Name and Position | Brigita Sunshyne Baumgardner (PRESIDENT) |
| Authorized Official Contact | 2035051293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brigita Sunshyne Baumgardner Lcsw Pa 200 Valencia Dr Suite 101 Jacksonville NC 28546-6311 Ph: (203) 505-1293 | Brigita Sunshyne Baumgardner Lcsw Pa 200 Valencia Dr Suite 101 Jacksonville NC 28546-6311 Ph: (203) 505-1293 |
| NPI Number | 1649514605 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649514605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C007011 (North Carolina) | Primary |
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