Individual
ANGELA BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7055 DUTCHLAND BLVD, LIBERTY TOWNSHIP, OH 45044-9014
(513) 759-8615
Mailing address
4231 SCOTTWOOD DR, FAIRFIELD, OH 45014-5946
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
OH1200386
OH
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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