Individual
MARY ANGELYN VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1975 MANILA AVE, MEMPHIS, TN 38114-1746
(662) 380-0619
Mailing address
1975 MANILA AVE, MEMPHIS, TN 38114-1746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7403
TN
1041S0200X
School Social Worker
000591406
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/09/2016
Last updated
08/28/2023
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