Individual
ANGELA SUE COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
746 DECORAH LN, MENDOTA HEIGHTS, MN 55120
(612) 568-7302
Mailing address
PO BOX 50743, MENDOTA, MN 55150
(612) 568-7302
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
29201
MN
1041C0700X
Clinical Social Worker
63805
TX
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/27/2013
Last updated
05/03/2023
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