Russell, Angela M
Russell, Angela M is an individual health care provider with primary practice located at 2007 State St , Washington IN 47501-8505. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Angela M can be contacted via phone (812) 254-1558.Contact Information
Primary practice address
2007 State St
Washington IN 47501-8505
Phone: (812) 254-1558
Fax: (812) 254-8308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34007404A | Indiana |
Profile Details
| NPI number | 1588906630 |
|---|---|
| LBN Legal business name | Russell, Angela M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2013 |
| Last updated | Nov 23rd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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