Individual
ANGELA LEE DEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
249 5TH ST E, TRACY, MN 56175-1536
(507) 629-3520
(507) 212-8260
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15573
MN
1041C0700X
Clinical Social Worker
AP10-970
MN
Other
Enumeration date
08/20/2010
Last updated
07/10/2017
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