Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | P006475 | NC |
NPI | 1003193434 |
---|---|
Provider Name | Ms. Virginia Louise Anglin |
First Address | Asheville, NC 28806-2652 |
Second Address | Asheville, NC 28806-2652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2011 |
Last Update Date | 14/11/2011 |