| NPI | 1275849838 |
|---|---|
| Former Name | ANGELA LEE DEADRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 15573) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN AP10-970) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2017-07-10 |