Provider Demographics
NPI:1326796053
Name:HARDING, ANGELA (BSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:HARDING
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19826 E 46TH ST S
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014-1378
Mailing Address - Country:US
Mailing Address - Phone:918-852-4681
Mailing Address - Fax:
Practice Address - Street 1:19826 E 46TH ST S
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74014-1378
Practice Address - Country:US
Practice Address - Phone:918-852-4681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker