Individual
KRYSTAL S ANGEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
202 E. ELM STREET, NEW ALBANY, IN 47150
(502) 641-5989
Mailing address
9451 VOYLES RD, PEKIN, IN 47165-9606
(502) 641-5989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001748A
IN
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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