Individual
ANGELE MARIE SIRGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-BACS, CCM
Contact information
Practice address
1770 HIGHWAY 59, MANDEVILLE, LA 70448-1960
(985) 231-3288
(985) 231-3288
Mailing address
327 28TH ST, NEW ORLEANS, LA 70124-1325
(504) 460-9773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6079
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q037115
—
TN
Enumeration date
01/26/2022
Last updated
03/03/2022
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