Pemberton, Angela Marie

Pemberton, Angela Marie is an individual health care provider with primary practice located at 701 W High St , Jefferson City MO 65101-1525. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Pemberton, Angela Marie can be contacted via phone (573) 659-1130.

Contact Information

Primary practice address
701 W High St Jefferson City MO 65101-1525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 201203511 Missouri

Profile Details

NPI number 1144572371
LBN Legal business name Pemberton, Angela Marie
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2012
Last updated Oct 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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