Individual
MRS. ANGELICA MARINA LUCCIA COLIBRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7831 S SCEPTER DR APT 6, FRANKLIN, WI 53132-2267
(414) 331-9399
Mailing address
800 MAIN ST STE 210, ANTIOCH, IL 60002-1578
(847) 903-5604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7618-123
WI
1041C0700X
Clinical Social Worker
Primary
7618-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760678031
—
WI
Enumeration date
09/20/2007
Last updated
07/27/2021
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