Individual
MRS. ANGELA ALLEN STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.;L.C.S.W.
Contact information
Practice address
2303 GORDON AVE, YAZOO CITY, MS 39194-2067
(662) 746-5712
(662) 746-5723
Mailing address
2303 GORDON AVE, YAZOO CITY, MS 39194-2067
(662) 746-5712
(662) 746-5723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C1426
MS
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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