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Individual

DR. ANGELA SCALISE BOURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-1779
(703) 432-0508
Mailing address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-1779
(703) 432-0508

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003994
VA
103TC0700X
Clinical Psychologist
2989
NC

Other

Enumeration date
10/21/2008
Last updated
04/05/2024
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