Individual
ANGELA HEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
336 MILLSTREAM LN, OSWEGO, IL 60543-8274
(815) 685-6640
Mailing address
336 MILLSTREAM LN, OSWEGO, IL 60543-8274
(815) 685-6640
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23375
IL
171W00000X
Contractor
R200-0168-7970
IL
Other
Enumeration date
05/17/2016
Last updated
11/13/2018
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