Individual
ANGELA MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
24 UNION STREET, MIDDLETOWN, NY 10940
(845) 421-6386
Mailing address
15 FORTUNE ROAD WEST, MIDDLETOWN, NY 10491
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105536
—
NY
Enumeration date
08/01/2019
Last updated
08/01/2019
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