Individual
ANGELA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 LAKE GEORGE RD, WEST BRANCH, MI 48661-9635
(254) 319-6042
Mailing address
4101 LAKE GEORGE RD, WEST BRANCH, MI 48661-9635
(254) 319-6042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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