Individual
ANGELA CHRISTINE WEISENGOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S BRIDGE ST, ELKTON, MD 21921-5915
(410) 505-0063
Mailing address
510 PHILADELPHIA PIKE, WILMINGTON, DE 19809-2100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483106300
—
MD
Enumeration date
05/06/2018
Last updated
04/04/2025
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