Individual
ANGELA NICOLE CUSANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1141 S 7TH ST, SAINT LOUIS, MO 63104-3623
(314) 571-6283
Mailing address
6609 CHRISTOPHER VIEW CT, SAINT LOUIS, MO 63129-5543
(314) 853-8527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008037274
MO
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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