Individual
ANGELA KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SOUTHTOWNE DR, POTOSI, MO 63664-5729
(573) 438-9355
Mailing address
1 SOUTHTOWNE DR, POTOSI, MO 63664-5729
(573) 438-9355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012031864
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952424566
—
MO
Enumeration date
04/01/2015
Last updated
02/23/2026
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