Individual
ANGELA SHOULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 BETHEL RD, GLEN MILLS, PA 19342-1561
(570) 709-4744
Mailing address
1728 S 4TH ST, PHILADELPHIA, PA 19148-1852
(570) 709-4744
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB260521
PA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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