Individual
ANGIE PATRICIA CASTILLO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
1529 GRANVILLE ST, BURLINGTON, NC 27215-2007
(978) 788-4129
Mailing address
1529 GRANVILLE ST, BURLINGTON, NC 27215-2007
(978) 788-4129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019300
NC
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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