| Angela Bommarito Lisw Llc | |
|
167 S State St Ste 120 Westerville OH 43081-2278 | |
| (614) 270-0910 | |
| Not Available |
| Full Name | Angela Bommarito Lisw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 167 S State St Ste 120, Westerville, Ohio |
| Authorized Official Name and Position | Angela Rose Bommarito (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6142700910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Bommarito Lisw Llc Po Box 902 Athens OH 45701-0902 Ph: (614) 270-0910 | Angela Bommarito Lisw Llc 167 S State St Ste 120 Westerville OH 43081-2278 Ph: (614) 270-0910 |
| NPI Number | 1659695401 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659695401 | NPI | - | NPPES |
| 1497880900 | Other | INDIVIDUAL TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-0700030 SUPV (Ohio) | Primary |
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