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ANGELA LIGHT
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1932538709
Individual Registrant: ANGELA LIGHT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
12920 SHAFER RD LICKING, MO 65542-9413 US
Tel: 417-260-4160 Fax: --
Tel: 417-260-4160 Fax: --
Contact information for business:
12920 SHAFER RD LICKING, MO 65542-9413 US
Tel: 417-260-4160 Fax: --
Tel: 417-260-4160 Fax: --
Registration Information:
NPI: 1932538709
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator | MO | 127669 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
