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Individual

TANGALA KROUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
321 COPPER TREE CT, O FALLON, MO 63368-6339
(636) 265-0407
Mailing address
138 HOLLYLEAF DR, BALLWIN, MO 63021-6545
(319) 360-1420

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2012001900
MO

Other

Enumeration date
05/09/2012
Last updated
05/09/2012
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