Individual
ANGELA MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 366-3017
Mailing address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 366-3017
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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