Individual
ANGELA NICOLE EADES-LAFOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 W MAIN ST, ABINGDON, VA 24210-2715
(276) 676-7000
(276) 676-7000
Mailing address
209 W MAIN ST, ABINGDON, VA 24210-2715
(276) 676-7000
(276) 676-7000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007227
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235473679
—
VA
Enumeration date
11/26/2012
Last updated
02/02/2021
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