Individual
MS. ANGELINA MICHELLE SKILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL SO
Contact information
Practice address
CORNER OF WEST MARKET AND LAMONT STREET, JOHNSON CITY, TN 37601
(423) 979-2675
Mailing address
118 EASTLAND DR, ELIZABETHTON, TN 37643-5501
(423) 979-2825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000004680
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000004680
CMSW
TN
Enumeration date
07/10/2006
Last updated
09/10/2012
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