Chan, Angela

Chan, Angela is an sole proprietor health care provider with primary practice located at 25 Beach St. , Dorcester MA 02122. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is her primary health care specialty. Chan, Angela can be contacted via phone (617) 691-1704.

Contact Information

Primary practice address
25 Beach St. Dorcester MA 02122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 217281 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PCSW-386 Wyoming
Agencies / Day Training, Developmentally Disabled Services 251C00000X Massachusetts

Profile Details

NPI number 1770807968
LBN Legal business name Chan, Angela
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2010
Last updated Mar 16th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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