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Individual

ANGELA ANDEWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 E MAIN ST, OTTUMWA, IA 52501-2910
(641) 682-8772
(641) 682-1924
Mailing address
110 E MAIN ST, OTTUMWA, IA 52501-2910
(641) 682-8772
(641) 682-1924

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
072076
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659353670
BLUE CROSS BLUE SHIELD
IA
05
1659353670
IA
Enumeration date
03/04/2014
Last updated
03/04/2014
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