Individual
ANGELA MARIE STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
300 E 2ND ST, CHILLICOTHE, OH 45601-2639
(740) 772-4673
Mailing address
12682 PLEASANT VALLEY RD, CHILLICOTHE, OH 45601-4022
(740) 637-2095
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
APP-000594152
OH
175T00000X
Peer Specialist
Primary
APS.003422
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APP-000594152
—
OH
Enumeration date
08/10/2022
Last updated
08/10/2022
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