Individual
ANGELA RAISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8262 E COUNTY ROAD 900 S, CLOVERDALE, IN 46120-8696
(317) 850-1906
Mailing address
8262 E COUNTY ROAD 900 S, CLOVERDALE, IN 46120-8696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003599A
IN
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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