Individual
ANGELA ENLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4333
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
NC
Enumeration date
04/05/2011
Last updated
12/19/2024
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