Individual
ANGELA COURTNEEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4005 TORREY PINES DR, BYRAM, MS 39272-5778
(866) 683-2362
Mailing address
1014 MCCLUER RD, JACKSON, MS 39212-4405
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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