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ANGELA POLITE MACK
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1639726532
Individual Registrant: ANGELA POLITE MACK
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1109 WHITE HALL RD YEMASSEE, SC 29945-5319 US
Tel: 843-437-6280 Fax: --
Tel: 843-437-6280 Fax: --
Contact information for business:
5631 SPRING VALLEY RD # 149-2 DALLAS, TX 75254-3169 US
Tel: 843-437-6280 Fax: --
Tel: 843-437-6280 Fax: --
Registration Information:
NPI: 1639726532
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | SC | 007003996 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
