Individual
ANGELA M RUNQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PLMHP
Contact information
Practice address
914 BAUMANN DR, GRAND ISLAND, NE 68803-4401
(308) 385-5250
Mailing address
4010 R AVE, APT A-7, KEARNEY, NE 68847-2302
(402) 910-1063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9060
NE
1041C0700X
Clinical Social Worker
6699
NE
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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