| Doctor Name: | MRS. JANE ELIZABETH ANGELL |
| NPI Number: | 1063401230 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW LCSW |
| License Number: | LCSW-10675 |
| Business Practice Address: | 1141 E Cooley St Suite E Show Low, AZ - 859015103 |
| Business Phone Number: | 9285370370 |
| Business Fax Number: | 9285371189 |
| Mailing Address: | 1141 E Cooley St, Suite E SHOW LOW |
| State: | AZ |
| Postal Code: | 859015103 |
| Phone Number: | 9285370370 |
| Fax Number: | 9285371189 |
| NPI Enumeration Date: | 10/19/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-10675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |