Individual
ANGELA KATE FLICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 BIELENBERG DR, SAINT PAUL, MN 55125-1700
(612) 445-8324
Mailing address
827 MENDEL AVE N, LAKE ELMO, MN 55042-7608
(651) 436-3509
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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