Individual
ANGELINE FAITH POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 HARPER RD, BECKLEY, WV 25801-2642
(304) 720-3383
Mailing address
1902 HARPER RD, BECKLEY, WV 25801-2642
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-226232
WV
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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