Individual
ANGELA VLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 851-9811
Mailing address
3360 HEAVEN DR, GREEN BAY, WI 54311-8905
(920) 851-9811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
131940
WI
1041C0700X
Clinical Social Worker
Primary
11464
WI
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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