Vaughan, Mary Angelyn

Vaughan, Mary Angelyn is an sole proprietor health care provider with primary practice located at 1975 Manila Ave , Memphis TN 38114-1746. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vaughan, Mary Angelyn can be contacted via phone (662) 380-0619.

Contact Information

Primary practice address
1975 Manila Ave Memphis TN 38114-1746
Phone: (662) 380-0619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 000591406 Tennessee
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7403 Tennessee

Profile Details

NPI number 1073962072
LBN Legal business name Vaughan, Mary Angelyn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2016
Last updated Aug 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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