Individual
MRS. ANGELA MARIE IVANCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
24200 CHAGRIN BLVD., BEACHWOOD, OH 44122
(216) 831-6466
(216) 766-6083
Mailing address
24200 CHAGRIN BLVD, BEACHWOOD, OH 44122
(216) 831-6466
(216) 766-6083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0009382
OH
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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