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Individual

ANGELA FAILING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1605 WOODRIDGE DR SE STE B, PORT ORCHARD, WA 98366-3818
(360) 443-2399
Mailing address
4988 LOVELY LN SE, PORT ORCHARD, WA 98367-9001
(360) 627-1558

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61657165
WA

Other

Enumeration date
02/18/2025
Last updated
02/18/2025
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