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Individual

ANGEL A VILLARREAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SOCIAL WORK

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
9819
PR
1041C0700X
Clinical Social Worker
Primary
R057653
NY

Other

Enumeration date
06/04/2012
Last updated
06/04/2012
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