Individual
ANGELA RENEE DEVAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CMHT
Contact information
Practice address
2725 HIGHWAY 51 S, HERNANDO, MS 38632-2634
(662) 449-1971
Mailing address
2725 HIGHWAY 51 S, HERNANDO, MS 38632-2634
(662) 449-1971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
W9569
MS
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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