Individual
ANGALICA CHANNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 E BROAD ST, COLUMBUS, OH 43213-1505
(614) 367-7700
Mailing address
6400 E BROAD ST, COLUMBUS, OH 43213-1505
(614) 367-7700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1903539
OH
104100000X
Social Worker
—
—
Other
Enumeration date
04/30/2018
Last updated
05/22/2019
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