Individual
MS. ANGELICA VILLICANA
Active
Individual
MS. ANGELICA VILLICANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
M-06894
NM
1041C0700X
Clinical Social Worker
Primary
1-08104
NM
1041C0700X
Clinical Social Worker
I-08104
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
06/10/2009
Last updated
03/10/2014
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