Individual
ANGELINA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MA
Contact information
Practice address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176
(037) 771-5100
Mailing address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010517
VA
Other
Enumeration date
01/07/2010
Last updated
06/12/2018
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