Individual
ANGELA WALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FP
Contact information
Practice address
42432 N ACADIA WAY, ANTHEM, AZ 85086-2763
(623) 551-2309
Mailing address
42432 N ACADIA WAY, ANTHEM, AZ 85086-2763
(623) 551-2309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156614
—
AZ
Enumeration date
04/10/2007
Last updated
07/08/2007
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