Individual
ANGELA LYNNETTE EALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW-C
Contact information
Practice address
11400 GLENN DALE BLVD, GLENN DALE, MD 20769-9049
(301) 352-0320
(301) 860-1258
Mailing address
6319 MONTERY RD, ELKRIDGE, MD 21075-6926
(240) 274-2840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13539
MD
Other
Enumeration date
07/10/2017
Last updated
02/13/2023
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