ANGELA MANDEVILLE, CSW
Social Worker - Clinical
Active
Individual
NPI: 1497706360
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 6145420-3502 (UT) |
Frequently Asked Questions
NPI 1497706360 is the National Provider Identifier for ANGELA MANDEVILLE, CSW, a Social Worker - Clinical provider located in Salt Lake City, UT. This NPI was enumerated on May 15, 2006.
ANGELA MANDEVILLE, CSW practices at 2766 E 3300 S, Salt Lake City, UT 84109.
Quick Facts
- NPI
- 1497706360
- Type
- Individual
- Enumerated
- May 15, 2006
- Last Updated
- Oct 29, 2009
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