Individual
ANGELA KAY DJOUMBAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
26450
MN
104100000X
Social Worker
26450
MN
1041C0700X
Clinical Social Worker
Primary
26450
MN
Other
Enumeration date
01/02/2018
Last updated
01/28/2025
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