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Individual

ANGELA MICHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7455 ARROYO CROSSING PKWY STE 220, LAS VEGAS, NV 89113-4088
(702) 751-2797
Mailing address
695 SHEPARDBUSH ST, BIRMINGHAM, MI 48009-5551
(248) 925-2454

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20131611035
NV

Other

Enumeration date
04/15/2014
Last updated
04/15/2014
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