| Angela N Garza Lcsw Ccm Psc | |
|
13117 Eastpoint Park Blvd Louisville KY 40223-4193 | |
| (502) 224-0987 | |
| Not Available |
| Full Name | Angela N Garza Lcsw Ccm Psc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13117 Eastpoint Park Blvd, Louisville, Kentucky |
| Authorized Official Name and Position | Angela N Garza (PRESIDENT) |
| Authorized Official Contact | 5022240987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela N Garza Lcsw Ccm Psc 10725 Hobbs Station Rd Louisville KY 40223-2674 Ph: (502) 224-0987 | Angela N Garza Lcsw Ccm Psc 13117 Eastpoint Park Blvd Louisville KY 40223-4193 Ph: (502) 224-0987 |
| NPI Number | 1164622544 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164622544 | NPI | - | NPPES |
| 1962621136 | Other | KY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2044 (Kentucky) | Primary |
| 1041C0700X | Social Worker - Clinical | 34004093A (Indiana) | Secondary |
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