Individual
MRS. ANGELA MICHELE MUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
5110 S FLORIDA AVE, SUITE 105, LAKELAND, FL 33813-2512
(863) 838-4949
(863) 510-5903
Mailing address
6002 N FORK CT, LAKELAND, FL 33809-1432
(863) 838-4949
(863) 510-5903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10699
FL
Other
Enumeration date
04/10/2011
Last updated
04/10/2011
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