Individual
MRS. ANGELA KRISTIN LIGHTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1201 N 7TH ST, KANSAS CITY, KS 66101-2103
(913) 956-4179
(913) 956-4190
Mailing address
1201 N 7TH ST, KANSAS CITY, KS 66101-2103
(913) 956-4179
(913) 956-4190
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5706
KS
1041C0700X
Clinical Social Worker
Primary
4124
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
Enumeration date
02/06/2007
Last updated
01/04/2012
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