Individual
ANGIE LYNN WHITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
784 WHITIS RD, BOAZ, KY 42027-8219
(270) 658-3727
Mailing address
784 WHITIS RD, BOAZ, KY 42027-8219
(270) 658-3727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2403
KY
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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