Individual
MS. JOELLA MOHRLAND ANGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20521
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025608000
REGENCE BCBS
OR
01
—
166045
HEALTH NET - MHN
OR
01
—
395666
VALUE OPTIONS
—
01
—
J159901
PACIFIC SOURCE
OR
01
—
P00296613
RR MEDICARE
OR
Enumeration date
07/27/2006
Last updated
10/04/2023
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