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Individual

MRS. ANGELA ROSE BOUDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 574-9869
Mailing address
275 EAST BAKER ST., SUITE. A, COSTA MESA, CA 92626
(714) 361-6760
(714) 361-6768

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CA

Other

Enumeration date
10/26/2012
Last updated
07/15/2024
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