Individual
MRS. ANGELA DAWN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2401 W MAIN ST, HENRYETTA, OK 74437-3893
(918) 650-1380
(918) 650-1389
Mailing address
1405 N 14TH ST, OKEMAH, OK 74859-2046
(918) 623-1691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3211
OK
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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