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NPI Code Detail

MEDICARE: MRS. JENNIFER SEGER AGUGLIA LCSW-C

MEDICARE:  MRS. JENNIFER SEGER AGUGLIA  LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2104100000XSocial Worker18075MD
3101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1700294915
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER SEGER AGUGLIA LCSW-C
Provider Business Mailing Address
First Line : 800 TYDINGS LN STE 200
Second Line :
City : HAVRE DE GRACE
State : MD
Zip : 21078-2102
Country : US
Telephone Number : 410-273-2462
Fax Number :
Provider Business Practice Location Address
First Line : 802 BEL AIR RD STE 102
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4212
Country : US
Telephone Number : 410-273-2462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2014
Last Update Date : 07/11/2024

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Directions to “ MRS. JENNIFER SEGER AGUGLIA LCSW-C” Practice Location

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