Individual
MRS. ANGELA TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-7805
(614) 487-7809
Mailing address
1271 HUNTER AVE APT D, COLUMBUS, OH 43201-3254
(415) 941-8075
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2018
Last updated
03/29/2026
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