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Individual
MARITZA ANGULO DE GONZALEZ
Active
Individual
MARITZA ANGULO DE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004597
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004234952
—
CT
01
—
140004597CT01
ANTHEM BCBS
CT
01
—
321636
MHN
CT
01
—
398612
MAGELLAN BEHAVIORAL HEALT
CT
01
—
494566
VALUE OPTIONS
CT
01
—
7819545
AETNA
CT
Enumeration date
07/04/2006
Last updated
05/26/2010
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