ANGELA GAIL SOUTHERLAND

RAEFORD, NC
NPI1568641710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2007-10-24
Last Update Date2007-10-27
Business Address
ANGELA GAIL SOUTHERLAND
635 VASS RD
RAEFORD, NC 28376-8412
Phone number: 901-670-6567
Mailing Address
ANGELA GAIL SOUTHERLAND
635 VASS RD
RAEFORD, NC 28376-8412
Phone number: 901-670-6567
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