Individual
ANGELA WIGNALL SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
1246 W 710 S, LOGAN, UT 84321-6050
(541) 625-0028
Mailing address
1246 W 710 S, LOGAN, UT 84321-6050
(541) 625-0028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9871068
ID
1041C0700X
Clinical Social Worker
365340-3501
UT
1041C0700X
Clinical Social Worker
9871068
ID
1041C0700X
Clinical Social Worker
CSW.09931656
CO
1041C0700X
Clinical Social Worker
ISW04396
RI
1041C0700X
Clinical Social Worker
Primary
LICSW1140554
MA
1041C0700X
Clinical Social Worker
TPSW5213
FL
Other
Enumeration date
04/07/2021
Last updated
07/18/2025
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