Individual
ANGELA PENN-JUENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 857-2158
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 857-2158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9032
OK
171M00000X
Case Manager/Care Coordinator
9032
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200592150B
—
OK
Enumeration date
04/16/2015
Last updated
01/14/2025
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