Angela D Outlaw

NPI #1043091739 in La Vergne, Tennessee

Provider Information

NPI Number: 1043091739
Entity Type: Individual
Name: Angela D Outlaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Oct 10, 2023
Last Updated: Oct 10, 2023

Practice Location

Address: 8019 VINEYARD LN
City: La Vergne
State: Tennessee
ZIP Code: 37086-5110
Phone: (615) 939-3391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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