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Individual

MS. ANGELA HARALSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(773) 441-1718
Mailing address
4034 POMPTON CT, ELGIN, IL 60124-3137
(773) 441-1718

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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