Individual
MS. ANGELA MARIE MUSICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4556 46TH AVE S APT 403, MINNEAPOLIS, MN 55406-4441
(612) 219-9557
Mailing address
525 PORTLAND AVE # MC961, MINNEAPOLIS, MN 55415-1533
(612) 219-9557
(612) 466-9402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23800
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
MN
Enumeration date
09/30/2019
Last updated
09/21/2020
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