Individual
ANGIE DENICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8261 MARKET ST, BOARDMAN, OH 44512-6254
(330) 286-0050
Mailing address
2653 SCHEETZ ST, YOUNGSTOWN, OH 44509-2239
(330) 261-5621
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104100000X
TAXONOMY
—
Enumeration date
08/06/2018
Last updated
08/06/2018
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