Provider Demographics
NPI:1316901358
Name:ANGLIN, WILLIAM DUANE (MA, MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DUANE
Last Name:ANGLIN
Suffix:
Gender:M
Credentials:MA, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:607 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-2113
Mailing Address - Country:US
Mailing Address - Phone:910-482-5234
Mailing Address - Fax:910-482-5130
Practice Address - Street 1:VA MEDICAL CENTER
Practice Address - Street 2:2300 RAMSEY STREET
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301
Practice Address - Country:US
Practice Address - Phone:910-488-2120
Practice Address - Fax:910-482-5130
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101YS0200X
NCC0035501041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool