Individual
ANGELINA WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
528 E SPOKANE FALLS BLVD STE 14, SPOKANE, WA 99202-5081
(509) 328-1582
Mailing address
1722 N BESSIE LN, SPOKANE VALLEY, WA 99212-2488
(509) 995-1098
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-237548
WA
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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