Individual
ANGIE MICHELE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RANK I
Contact information
Practice address
105 WINDSOR PATH, GEORGETOWN, KY 40324-9818
(859) 559-6041
Mailing address
11215 W HIGHWAY 36, SHARPSBURG, KY 40374-9626
(859) 274-3313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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