Individual
ANGELA KAREE WALLOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 E MARKET ST, LEESBURG, VA 20176-3112
(703) 771-7845
(703) 771-7845
Mailing address
107 PROSPERITY AVE SE APT D, LEESBURG, VA 20175-4151
(407) 252-8330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010188
VA
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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