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Individual

MS. ANGELA MICHELLE CHARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
2290 MATTEONI DR, SPARKS, NV 89434-3483
(775) 338-3786
Mailing address
2290 MATTEONI DR, SPARKS, NV 89434-3483
(775) 338-3786

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5319-C
NV
1041C0700X
Clinical Social Worker
X-06140
NM

Other

Enumeration date
08/10/2008
Last updated
09/04/2009
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