Doctor Name: | MS. ANGELA DELOATCH BOND |
NPI Number: | 1619341591 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C009833 |
Business Practice Address: | 919 Jr High School Rd Scotland Neck, NC - 278741219 |
Business Phone Number: | 2528263143 |
Business Fax Number: | 2528263110 |
Mailing Address: | Po Box 640, ROANOKE RAPIDS |
State: | NC |
Postal Code: | 278700640 |
Phone Number: | 2525365440 |
Fax Number: | 2525365444 |
NPI Enumeration Date: | 11/16/2015 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C009833 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |