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Individual

ANGEL J SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LCDP, CPRS

Contact information

Practice address
178 NORWOOD AVE, CRANSTON, RI 02905-3923
(401) 422-9065
(401) 921-1415
Mailing address
178 NORWOOD AVE, CRANSTON, RI 02905-3923
(401) 422-9065
(401) 921-1415

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00825
RI
1041C0700X
Clinical Social Worker
Primary
CSW03268
RI
1041C0700X
Clinical Social Worker
RI

Other

Enumeration date
12/16/2019
Last updated
06/09/2023
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