Individual
ANGELA MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IECE
Contact information
Practice address
308 BROADWAY ST, HORSE CAVE, KY 42749
(270) 670-5357
(844) 688-4227
Mailing address
308 BROADWAY ST, HORSE CAVE, KY 42749-1205
(270) 670-5357
(844) 688-4227
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201119769
KY
Other
Enumeration date
01/20/2016
Last updated
05/17/2018
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