Most Relevant Information
Provider Data
| NPI Number: | 1003062027 |
| Provider Name: | ANGELA MICHELLE CHARTER LISW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | X-06140 |
Most Important Dates
| Enumeration Date: | 08/10/2008 |
| Last Updated: | 09/04/2009 |
Provider Practice Location
2290 MATTEONI DR
SPARKS
NV
894343483
Practice Location Phone/Fax
| Phone: | 7753383786 |
| Fax: |
Provider Mailing Location
2290 MATTEONI DR
SPARKS
NV
894343483
Provider Mailing Phone/Fax
| Phone: | 7753383786 |
| Fax: |