Individual
ANGELLA HYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 NE 26TH ST, WILTON MANORS, FL 33305-1239
(754) 307-6403
Mailing address
819 NE 26TH ST, WILTON MANORS, FL 33305-1239
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13647
FL
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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