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Individual

ANGELIQUE BIANCA WHITE-MILLWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
830 S ADDISON AVE, VILLA PARK, IL 60181-2877
(630) 620-4433
Mailing address
120 S MARION ST, OAK PARK, IL 60302-2809
(708) 383-7500
(708) 383-7780

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
IL
1041C0700X
Clinical Social Worker
Primary
149.024805
IL
1041C0700X
Clinical Social Worker
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14952860
CAQH
Enumeration date
09/03/2020
Last updated
09/16/2022
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