Individual
COURTNEY ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 STATE ST, HACKENSACK, NJ 07601-5500
(201) 881-1708
Mailing address
214 STATE ST, HACKENSACK, NJ 07601-5500
(201) 881-1708
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06159700
NJ
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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