Most Relevant Information
Provider Data
| NPI Number: | 1003415191 |
| Provider Name: | ANGELA TESTA LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 11949 |
Most Important Dates
| Enumeration Date: | 10/20/2020 |
| Last Updated: | 10/20/2020 |
Provider Practice Location
2200 S 15TH ST
LEAVENWORTH
KS
660484108
Practice Location Phone/Fax
| Phone: | 9132407909 |
| Fax: |
Provider Mailing Location
2200 S 15TH ST
LEAVENWORTH
KS
660484108
Provider Mailing Phone/Fax
| Phone: | 9132407909 |
| Fax: |