| Doctor Name: | MS. DEBRA GRACE ANGAROLA |
| NPI Number: | 1083776603 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | CSW003359 |
| Business Practice Address: | 1353 Jennings Mill Rd Suite D, Box11 Watkinsville, GA - 306777290 |
| Business Phone Number: | 7062077519 |
| Business Fax Number: | 7065102619 |
| Mailing Address: | 325 Brookstone Dr, ATHENS |
| State: | GA |
| Postal Code: | 306054335 |
| Phone Number: | 7062077519 |
| Fax Number: | 7065102619 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 03/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW003359 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |