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Search › Maryland › 104100000X

Jason Bumgarner, LGSW

NPI 1992064000 · on the registry since 2012

Practice

Address
2528 Mountain Rd
Suite 204
Pasadena, MD 21122
Phone
(410) 255-4475
Organisation at this address
Elc Lab Services Llc
Evolve Health Partners
Evolve Health Partners
Evolve Life Centers Llc
Evolve Life Centers Iop Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YM0800X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland