Individual
ANGELIA A MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4144 BAPTIST CORNER RD, AUBURN, NY 13021-9355
(315) 657-5850
Mailing address
4144 BAPTIST CORNER RD, AUBURN, NY 13021-9355
(315) 657-5850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
080018-01
NY
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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