Provider Demographics
NPI:1497052120
Name:SLUZALIS, ANGELA M (LCSWC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:M
Last Name:SLUZALIS
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 TIGER WAY
Mailing Address - Street 2:
Mailing Address - City:BOONSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21713-2060
Mailing Address - Country:US
Mailing Address - Phone:301-432-5202
Mailing Address - Fax:855-959-2453
Practice Address - Street 1:210 TIGER WAY
Practice Address - Street 2:
Practice Address - City:BOONSBORO
Practice Address - State:MD
Practice Address - Zip Code:21713-2060
Practice Address - Country:US
Practice Address - Phone:301-432-5202
Practice Address - Fax:855-959-2453
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD149621041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical