ANGELA A MOUSE

CHARLESTON, WV
NPI1639108558
Former NameANGELA S AMICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WV  DP00080368)
Enumeration Date2006-07-02
Last Update Date2007-07-08
Business Address
-- ANGELA A MOUSE LICSW
100 PEYTON WAY
CHARLESTON, WV 25314
Phone number: 304-720-8466
Mailing Address
-- ANGELA A MOUSE LICSW
PO BOX 7310
CHARLESTON, WV 25356-0310
Phone number: 304-776-7606
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