Individual
ANGELA CHRISTINE CLOTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 WEST ST, TONGANOXIE, KS 66086-9714
(913) 417-7061
(913) 417-7062
Mailing address
PO BOX 252, 304 WEST STREET, TONGANOXIE, KS 66086-0252
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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