Individual
MRS. ANGELA J DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
949 COUNTY ROAD 1300 N, CARMI, IL 62821-5010
(618) 382-4164
(618) 382-3239
Mailing address
949 COUNTY ROAD 1300 N, CARMI, IL 62821-5010
(618) 382-4164
(618) 382-3239
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149009715
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K51812
PTAN
IL
Enumeration date
08/20/2006
Last updated
09/28/2010
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