Individual
ANGELA J PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, RPT
Contact information
Practice address
16 PINECREST CT, CONWAY, AR 72032-8866
(501) 269-0679
Mailing address
16 PINECREST CT, CONWAY, AR 72032-8866
(501) 269-0679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2179-C
AR
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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