Doctor Name: | MRS. ANGELA ROSE REED |
NPI Number: | 1437373818 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 2003016189 |
Business Practice Address: | 209 Lafayette Street Doniphan, MO - 63935 |
Business Phone Number: | 5739967054 |
Business Fax Number: | 5739967052 |
Mailing Address: | Rr 8 Box 2122, DONIPHAN |
State: | MO |
Postal Code: | 639358111 |
Phone Number: | 5739967478 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2003016189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |