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Individual

ANGELA BOLICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 646-5500
Mailing address
3956 ANISSA AVE, ORLANDO, FL 32814-6149
(321) 759-7434

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13263
FL
1041C0700X
Clinical Social Worker

Other

Enumeration date
08/09/2017
Last updated
08/09/2017
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