Individual
MRS. ANGEL MARIE BUNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
999 WATERSIDE DR, NORFOLK, VA 23510-3300
(757) 977-8455
(757) 765-6450
Mailing address
2921 REPLICA LN, PORTSMOUTH, VA 23703-5218
(757) 553-2352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013290
VA
Other
Enumeration date
12/22/2021
Last updated
06/08/2024
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