Provider Demographics
NPI:1942560297
Name:BROWER, ANGELA L (LMSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:L
Last Name:BROWER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64801-7665
Mailing Address - Country:US
Mailing Address - Phone:417-413-1685
Mailing Address - Fax:
Practice Address - Street 1:3605 N MAIN ST
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-7665
Practice Address - Country:US
Practice Address - Phone:417-413-1685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker