Individual
MISS ANGELA LANETTE CORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMSW
Contact information
Practice address
365 W REED RD, GREENVILLE, MS 38701-6967
(662) 702-5108
Mailing address
365 W REED RD, GREENVILLE, MS 38701-6967
(662) 702-5108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
AR
Other
Enumeration date
03/11/2014
Last updated
12/14/2020
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