MRS. Angela Linette Davidson, BA ITFS BK

NPI #1710160874 in Fuquay Varina, North Carolina

Provider Information

NPI Number: 1710160874
Entity Type: Individual
Name: MRS. Angela Linette Davidson, BA ITFS BK
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: BA ITFS BK
Enumeration Date: Dec 12, 2007
Last Updated: Dec 12, 2007

Practice Location

Address: 2008 BLAINEWOOD CT
City: Fuquay Varina
State: North Carolina
ZIP Code: 27526-9409
Phone: (919) 557-5653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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