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Individual

ANGELENA CODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2910 ENLOE ST, HUDSON, WI 54016-4538
(715) 808-8555
Mailing address
1416 HIGHWAY 64, NEW RICHMOND, WI 54017-7258

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/29/2025
Last updated
04/29/2025
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