Individual
ANGELA M TERRANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
812 E JOLLY RD, LANSING, MI 48910-6825
(517) 346-8200
Mailing address
49635 WILLOWOOD DR, MACOMB, MI 48044-1654
(586) 556-5581
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801102760
MI
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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