Individual
ANGELA MARIE GEORGES HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001568A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000767918
BCBS
IN
01
—
P01424408
RAIL ROAD PTAN
IN
Enumeration date
05/14/2007
Last updated
04/14/2015
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