Individual
MIRIAM MORALES ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 S ALDER ST, MOSES LAKE, WA 98837-1760
(509) 764-6644
(509) 764-6676
Mailing address
PO BOX 817, CONNELL, WA 99326-0817
(509) 318-0818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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