Dailey, Angela Dawn

Dailey, Angela Dawn is an individual health care provider with primary practice located at 3700 W Kilgore Ave , Muncie IN 47304-4810. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dailey, Angela Dawn can be contacted via phone (765) 289-5437.

Contact Information

Primary practice address
3700 W Kilgore Ave Muncie IN 47304-4810
Phone: (765) 289-5437
Fax: (765) 741-5269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34006846A Indiana

Profile Details

NPI number 1407139975
LBN Legal business name Dailey, Angela Dawn
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2011
Last updated Dec 11th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407139975 NPPES
Indiana Other 12289524 CAQH PROVIDER NUMBER

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