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ANGELA MONTGOMERY EELLS LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1578892477
Individual Registrant: ANGELA MONTGOMERY EELLS LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
111 DOLLY ST GRAY, GA 31032-5307 US
Tel: 478-491-1991 Fax: --
Tel: 478-491-1991 Fax: --
Contact information for business:
PO BOX 818 GRAY, GA 31032-0818 US
Tel: 478-491-1991 Fax: --
Tel: 478-491-1991 Fax: --
Registration Information:
NPI: 1578892477
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | GA | 4277 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
