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1932666211
ANGELA CATHERINE WANTA
BALLWIN, MO
NPI
1932666211
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Former Name
ANGELA CATHERINE PULLAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MO 2019003272)
Enumeration Date
2019-02-22
Last Update Date
2019-02-22
Business Address
ANGELA CATHERINE WANTA LMSW, MEd, BCBA, LBA
14733 CLAYTON RD
BALLWIN, MO 63011-2660
Phone number: 314-339-7732
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Mailing Address
ANGELA CATHERINE WANTA LMSW, MEd, BCBA, LBA
9647 HALE DR
SAINT LOUIS, MO 63123-5521
Phone number: 314-910-1874
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