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Individual
MISS MARTHA B ANGELO
Active
Individual
MISS MARTHA B ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105120
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659684348
STEWARD NORWOOD HOSPITAL NPI # (WHERE I WORK)
MA
Enumeration date
10/17/2014
Last updated
10/17/2014
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