Individual
MRS. ANGELA DENISE SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1601 BRENNER AVE, HUD-VASH, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
1006 AMBERLEA RD, INDIAN TRAIL, NC 28079-8471
(704) 533-3541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004904
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003159
—
NC
01
—
C004904
CLINICAL LICENSE
NC
Enumeration date
01/18/2007
Last updated
08/03/2012
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