Provider Demographics
NPI:1457365082
Name:MUHS, ANGELA NICOLE (LICSW)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:NICOLE
Last Name:MUHS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:NICOLE
Other - Last Name:DAHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:117 N WASHINGTON ST STE C
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58203-3450
Mailing Address - Country:US
Mailing Address - Phone:701-740-0634
Mailing Address - Fax:701-757-1500
Practice Address - Street 1:117 N WASHINGTON ST STE C
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58203-3450
Practice Address - Country:US
Practice Address - Phone:701-740-0634
Practice Address - Fax:701-757-1500
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND35731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical