Individual
ANGELA T. AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
637 ESSEX FOREST DR, CARY, NC 27518-9242
(216) 262-8130
Mailing address
PO BOX 4962, CARY, NC 27519-4962
(216) 262-8130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006470
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024
—
OH
05
—
10034
—
OH
Enumeration date
06/06/2008
Last updated
10/26/2009
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