Individual
ANGELA RENAE WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E CENTRAL AVE, SPOKANE, WA 99208-1108
(360) 240-0022
Mailing address
25630 46TH AVE S, KENT, WA 98032-9713
(206) 852-1728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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