Individual
ANGELA MARIE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 324-8585
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11520671
MI
1041C0700X
Clinical Social Worker
6801094294
MI
Other
Enumeration date
09/13/2010
Last updated
07/03/2019
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