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Individual

MRS. ANGELA MARIE WADDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACSW,LCSW,BCD

Contact information

Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9942
(877) 874-1008
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9942
(877) 874-1008

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006085
NC

Other

Enumeration date
04/13/2006
Last updated
04/11/2011
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