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Individual
LYNNETTE VANESSA ANGEL
Active
Individual
LYNNETTE VANESSA ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078757
DC
1041C0700X
Clinical Social Worker
LG50078459
DC
Other
Enumeration date
12/11/2006
Last updated
02/02/2015
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