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Individual

MS. ANGELA WOOTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-A

Contact information

Practice address
4403 MENCHACA RD STE E, AUSTIN, TX 78745-1646
(512) 444-8684
(512) 444-8697
Mailing address
4403 MENCHACA RD STE E, AUSTIN, TX 78745-1646
(512) 444-8684
(512) 444-8697

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50252
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0223760-01
TX
05
022376002
TX
Enumeration date
07/20/2006
Last updated
01/26/2022
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