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Individual
ANGELA DEE GUNN
Active
Individual
ANGELA DEE GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW CST
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
A3133
OR
106H00000X
Marriage & Family Therapist
Primary
L6394
OR
171M00000X
Case Manager/Care Coordinator
128563-121
WI
Other
Enumeration date
11/20/2011
Last updated
04/21/2020
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