Individual
ANGELINA EDITH KELLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 CENTRAL AVE STE 2, WESTFIELD, NJ 07090-2561
(732) 204-1635
Mailing address
67 WOLCOTT RD, DUMONT, NJ 07628-2622
(609) 864-6342
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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