Individual
ANGELA JEAN FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 E VETERANS PKWY # 7, YORKVILLE, IL 60560-1365
(573) 300-3899
Mailing address
201 E VETERANS PKWY # 7, YORKVILLE, IL 60560-1365
(573) 300-3899
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2013005209
MO
1041C0700X
Clinical Social Worker
Primary
149018739
IL
Other
Enumeration date
11/26/2012
Last updated
01/05/2026
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