Individual
ANGELA MARY CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
400 SOLDIER CREEK DR, ROSEBUD, SD 57570-8502
(716) 400-4206
Mailing address
151 BUFFALO AVE APT 902, NIAGARA FALLS, NY 14303-1235
(716) 400-4206
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008323
PA
Other
Enumeration date
10/03/2012
Last updated
03/02/2020
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