Individual
MR. CHESTER ANTHONY DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
13620 HALLELUIAH TRL, ELBERT, CO 80106-9020
(718) 495-3908
(719) 494-1689
Mailing address
13620 HALLELUIAH TRL, ELBERT, CO 80106-9020
(719) 495-3908
(719) 494-1689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9925827
CO
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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