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Individual

ANGELA CHRISTINE BILLINGSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-42356
ID
1041C0700X
Clinical Social Worker
LICSW
WA

Other

Enumeration date
06/22/2022
Last updated
06/22/2022
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