Individual
ANGELIQUE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12696 BLUE HOLLY DR APT 13, NOBLESVILLE, IN 46060-4561
(317) 219-7655
Mailing address
12696 BLUE HOLLY DR BLDG 8A, NOBLESVILLE, IN 46060-4560
(317) 219-7655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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