Individual provider · NPI-1

Courtney Angeles

Social Worker · Hackensack, NJ

NPI number1619429883
StatusActive
Last updated in NPPESNov 3, 2016

Details

NPI
1619429883
Entity type
Individual (NPI-1)
Name
Courtney Angeles
Sex
Female
Sole proprietor
No
Enumeration date
Nov 3, 2016
Last updated
Nov 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker44SL06159700NJYes

Practice location

214 State St
Hackensack, NJ 07601-5500

Phone 201-881-1708

Mailing address

214 State St
Hackensack, NJ 07601-5500

Phone 201-881-1708

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