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NPI Code Detail

MEDICARE: ANGELA MARIE LARGENT

MEDICARE: ANGELA MARIE LARGENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker61665887WA

General Provider Information

NPI Number : 1528903804
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MARIE LARGENT
Provider Business Mailing Address
First Line : 4815 N ASSEMBLY ST
Second Line :
City : SPOKANE
State : WA
Zip : 99205-6185
Country : US
Telephone Number : 509-759-1772
Fax Number :
Provider Business Practice Location Address
First Line : 4815 N ASSEMBLY ST
Second Line :
City : SPOKANE
State : WA
Zip : 99205-6185
Country : US
Telephone Number : 509-759-1772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ ANGELA MARIE LARGENT ” Practice Location

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