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Individual

ANGELA CORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4001 ACACIA DR, CRYSTAL LAKE, IL 60012-2312
(224) 357-8430
(901) 473-8169
Mailing address
4001 ACACIA DR, CRYSTAL LAKE, IL 60012-2312
(224) 357-8430
(901) 473-8169

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6664
TN
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
06/10/2014
Last updated
04/26/2023
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