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Individual

MRS. ANGELA JEANETTE BOVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
971 HARRISON AVE, ELKINS, WV 26241
(304) 636-9450
(304) 636-2282
Mailing address
971 HARRISON AVE, ELKINS, WV 26241
(304) 636-9450
(304) 636-2282

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00944009
WV

Other

Enumeration date
02/06/2013
Last updated
02/06/2013
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