Individual
ANGELA LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
223 N LOCUST ST APT 1, GRAND ISLAND, NE 68801-5930
(308) 391-2280
Mailing address
223 N LOCUST ST, GRAND ISLAND, NE 68801-5920
(308) 392-2280
(308) 832-4803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1700
NE
1041C0700X
Clinical Social Worker
Primary
1772
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025173100
—
NE
Enumeration date
08/06/2013
Last updated
02/28/2022
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