Organization
ANGELA N GARZA LCSW CCM PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA N GARZA LCSW CCM (PRESIDENT)
(502) 224-0987
Entity
Organization
Contact information
Practice address
13117 EASTPOINT PARK BLVD, LOUISVILLE, KY 40223-4193
(502) 224-0987
Mailing address
10725 HOBBS STATION RD, LOUISVILLE, KY 40223-2674
(502) 224-0987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2044
KY
1041C0700X
Clinical Social Worker
34004093A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962621136
NPI
KY
Enumeration date
07/23/2007
Last updated
07/23/2007
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