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Individual

MS. JOELLA MOHRLAND ANGLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1538 N LEWIS AVE, TULSA, OK 74110-2535
(918) 400-7001
(539) 202-5070
Mailing address
PO BOX 740020, ATLANTA, GA 30374-0020
(312) 733-9730

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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