White-Millwood, Angelique Bianca

White-Millwood, Angelique Bianca is an individual health care provider with primary practice located at 830 S Addison Ave , Villa Park IL 60181-2877. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. White-Millwood, Angelique Bianca can be contacted via phone (630) 620-4433.

Contact Information

Primary practice address
830 S Addison Ave Villa Park IL 60181-2877
Phone: (630) 620-4433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.024805 Illinois

Profile Details

NPI number 1295349538
LBN Legal business name White-Millwood, Angelique Bianca
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2020
Last updated Sep 16th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295349538 NPPES
Other 14952860 CAQH

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