Individual
MRS. ANGELA DENISE COLVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1739 N WILMOT AVE, CHICAGO, IL 60647-5523
(773) 269-9400
(269) 912-5925
Mailing address
1739 N WILMOT AVE, CHICAGO, IL 60647-5523
(773) 269-9400
(269) 912-5925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
149013723
IL
Other
Enumeration date
01/03/2012
Last updated
10/24/2013
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