Individual
ANGELA LIANE SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7600
(336) 728-4355
Mailing address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7600
(336) 728-4355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P009398
NC
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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