| NPI | 1285921981 |
|---|---|
| Former Name | ANGELA LYNN LONSWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851107345) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2022-07-22 |