Individual
DR. ANGELA LECIA WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1747 W ROOSEVELT RD # WROB155, CHICAGO, IL 60608-1264
(312) 996-9507
Mailing address
2125 W BOWLER ST FL 1, CHICAGO, IL 60612-4201
(805) 748-3586
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009769
IL
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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