Individual
ANGELA KLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9131 QUEENS BLVD STE 618, ELMHURST, NY 11373-5543
(718) 275-0983
(718) 275-7973
Mailing address
9131 QUEENS BLVD, SUITE 618, ELMHURST, NY 11373-5501
(718) 275-0983
(718) 275-7973
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
025536
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040426033815
FIDELIS
NY
Enumeration date
10/26/2006
Last updated
07/08/2007
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