Individual
MRS. ANGELA RENEE BARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 OLIVE ST, BOLIVAR, NY 14715-1324
(585) 928-1889
Mailing address
210 OLIVE ST, BOLIVAR, NY 14715-1324
(585) 928-1889
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017295
NY
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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