Mrs. Angelique Gabrielle Prom, LMSW-CLINICAL
Mrs. Angelique Gabrielle Prom, LMSW-CLINICAL is a Clinical Social Worker in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2022.
- Licensed in
- MI
- In the registry since
- 2022
Practice location Address checks out
2215 Fuller RdAnn Arbor, MI 48105-2303
Phone: (734) 769-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 6801110748 (MI) |
|---|
Record details
| NPI number | 1295460632 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LMSW-CLINICAL |
| Sole proprietor | No |
| NPI enumerated | July 20, 2022 |
| Last updated in NPPES | July 20, 2022 |
| Certification date | July 20, 2022 |
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