Individual
GRETA ANGSTADT CORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC, NCC
Contact information
Practice address
401 RIDLEY AVE, LAGRANGE, GA 30240-2267
(706) 756-1970
Mailing address
638 SWEETBAY PKWY, HAMILTON, GA 31811-7620
(706) 668-0529
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011963
GA
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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