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Individual

ANGELA PERGOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4414 N 19TH AVE, PHOENIX, AZ 85015-4114
(160) 228-5550
(602) 285-5551
Mailing address
4414 N 19TH AVE, PHOENIX, AZ 85015-4114

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC15331
AZ

Other

Enumeration date
09/29/2014
Last updated
09/29/2014
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