Individual
MRS. COLLEEN HEATHER D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3906 SOUTHLAKE DR SE, LACEY, WA 98503-3951
(360) 350-0408
Mailing address
3906 SOUTHLAKE DR SE, LACEY, WA 98503-3951
(360) 350-0408
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW20744
CA
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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