Individual
JEANETE DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
8577 E MARKET ST, WARREN, OH 44484-2345
(330) 856-6663
Mailing address
8577 E MARKET ST, WARREN, OH 44484-2345
(330) 856-6663
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S 0500107
OH
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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