Individual
JOAN ANGELAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3740
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007217022
AETNA
—
01
—
047966
ANTHEM
—
01
—
1040884
CIGNA
—
01
—
469007
VALUE OPTIONS
—
Enumeration date
10/29/2007
Last updated
06/21/2013
Update your record
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