Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003140294 |
---|---|
Provider Name | Miss Hannah Dawn Angel |
First Address | Beverly, MA 01915-6175 |
Second Address | Beverly, MA 01915-6175 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2009 |
Last Update Date | 22/09/2009 |