Individual
ANGIE SUE CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
607 LINCOLNWAY, VALPARAISO, IN 46383-5727
(219) 548-8727
(219) 465-7211
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1932
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000390799
ANTHEM
IN
Enumeration date
12/13/2006
Last updated
07/08/2007
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