Individual
ANGELA C NIBLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9675 MAIN ST, FAIRFAX, VA 22031-3762
(571) 341-0431
Mailing address
1611 PARK OVERLOOK DR, RESTON, VA 20190-4920
(703) 346-5327
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
VA
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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