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Individual

ANGELA STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, RCSW

Contact information

Practice address
7031 TAFT ST, HOLLYWOOD, FL 33024-3864
(954) 276-0861
Mailing address
831 SW 29TH WAY, FORT LAUDERDALE, FL 33312

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ISW10458
FL

Other

Enumeration date
08/02/2017
Last updated
08/02/2017
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