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General NPI Number Information
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NPI Number | 1639500846
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Entity Type | Organization
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Legal Business Name | ANGELA M. STELIGA, LICSW, CORP
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Dates
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Enumeration Date | 12/13/2013
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 25 MARKET ST STE 14
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City | SWANSEA
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State | MA
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Zip | 02777-3998
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Country | US
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Telephone | 401-523-0515
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Fax | 508-379-1112
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Provider Business Mailing Address
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Address Line | 25 MARKET ST STE 14
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City | SWANSEA
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State | MA
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Zip | 02777-3998
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Country | US
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Telephone | 401-523-0515
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Fax | 508-379-1112
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANGELA MARIE STELIGA
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Credential | LICSW
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Telephone | 401-523-0515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 114167
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License Number State | MA
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