Individual
MS. LINDA MARIE ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
420 SEVENTH ST, RACINE, WI 53403-1222
(262) 634-2391
(262) 634-5342
Mailing address
420 SEVENTH ST, RACINE, WI 53403-1222
(262) 634-2391
(262) 634-5342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
810121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467419200
NPI AGENCY
—
05
—
39696400
—
WI
Enumeration date
05/15/2007
Last updated
07/08/2007
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