Angela D Old, LISW-CP
NPI #1245377621 in Prosperity, South Carolina
Provider Information
- NPI Number
- 1245377621
- Entity Type
- Individual
- Name
- Angela D Old, LISW-CP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LISW-CP
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Dec 7, 2023
Practice Location
- Address
- 2005 DREHER ISLAND RD
- City
- Prosperity
- State
- South Carolina
- ZIP Code
- 29127-9013
- Phone
- (312) 497-0734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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Organizations
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|---|---|
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