Angela Joy LSW

NPI 1104040534 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1104040534
Gender Female
Enumeration Date 04/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE WI, 54810-9071, US
Phone (715) 485-8416
Fax (715) 485-8490
Business Location
1158 HIGHWAY 48
LUCK WI, 54853, US
Phone (715) 472-8008
Fax
Toxanomy
Taxonomy Code 171M00000X
License State Wisconsin
License Number 538 120
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According to our database, Angela Joy LSW NPI is 1104040534, taxonomy code is 171M00000X and license number is 538 120, license state is located at Wisconsin. Angela Joy LSW physically located at 100 Polk County Plz, Balsam Lake WI, 54810-9071. NPI Number Angela Joy LSW has the Individual type.

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1104040534 NPI number is provided on an as is basis without warranty of any kind. 1104040534 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Joy LSW are for informational purposes only.