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1114132800
ANGELA KATHRYN GADDIS
CLINTON, MS
NPI
1114132800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C2169)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
Prof. ANGELA KATHRYN GADDIS LCSW
132 FAIRMONT ST STE D
CLINTON, MS 39056-4721
Phone number: 601-842-1890
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Mailing Address
Prof. ANGELA KATHRYN GADDIS LCSW
102 GOSHEN SPRINGS LN
BRANDON, MS 39047-7246
Phone number:
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