Individual
MS. ANGELA RAE KOLKMAN WHIDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S
Contact information
Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(216) 952-1111
Mailing address
17825 BALDWIN PL, LAKEWOOD, OH 44107-1004
(808) 269-3487
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I.1200522
OH
1041C0700X
Clinical Social Worker
Primary
S.1000340
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376772384
—
OH
Enumeration date
07/11/2009
Last updated
06/13/2013
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