Angela Short, LCSW
NPI #1063047496 in Fayette, Mississippi
Provider Information
- NPI Number
- 1063047496
- Entity Type
- Individual
- Name
- Angela Short, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 5, 2020
- Last Updated
- Mar 5, 2020
Practice Location
- Address
- 240 MCNAIR RD
- City
- Fayette
- State
- Mississippi
- ZIP Code
- 39069-5540
- Phone
- (601) 786-7744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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