Individual
ANGELA POLITE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 WHITE HALL RD, YEMASSEE, SC 29945-5319
(843) 437-6280
Mailing address
5631 SPRING VALLEY RD # 149-2, DALLAS, TX 75254-3169
(843) 437-6280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007003996
SC
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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