Provider Demographics
NPI:1700815388
Name:MARSIGLIO, ANGEL M (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:M
Last Name:MARSIGLIO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24715 LITTLE MACK, ADVANCED COUNSELING SERVICES, P.C.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ST. CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-3207
Mailing Address - Country:US
Mailing Address - Phone:586-777-9000
Mailing Address - Fax:586-777-0823
Practice Address - Street 1:24715 LITTLE MACK, DOWNRIVER MENTAL HEALTH
Practice Address - Street 2:SUITE 200
Practice Address - City:ST. CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-3207
Practice Address - Country:US
Practice Address - Phone:586-777-9000
Practice Address - Fax:586-777-0823
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI680100340551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical