Organization
ANGELADAWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA FORD (MFTA)
(317) 453-0503
Entity
Organization
Contact information
Practice address
14182 WEEPING CHERRY DR, FISHERS, IN 46038-7471
(317) 453-0503
Mailing address
14182 WEEPING CHERRY DR, FISHERS, IN 46038-7471
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8500011A
IN
Other
Enumeration date
10/07/2013
Last updated
10/07/2013
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