Individual
MRS. ANGELA RAE HARSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. BCBA
Contact information
Practice address
847 WELLS STREET RD, DU QUOIN, IL 62832-4161
(618) 559-2169
Mailing address
847 WELLS STREET RD, DU QUOIN, IL 62832-4161
(618) 559-2169
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16352
IL
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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