Individual
ANGELA BIANCA PULLEN YANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
619 N BROADVIEW ST, CAPE GIRARDEAU, MO 63701-4313
(573) 334-3486
(573) 334-3524
Mailing address
619 N BROADVIEW ST, CAPE GIRARDEAU, MO 63701-4313
(573) 334-3486
(573) 334-3524
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011018250
MO
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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