Gean, Angela Renee

Gean, Angela Renee is an individual health care provider with primary practice located at 1704 Hwy 69 West , Trumann AR 72472-2029. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gean, Angela Renee can be contacted via phone (870) 483-4003.

Contact Information

Primary practice address
1704 Hwy 69 West Trumann AR 72472-2029
Phone: (870) 483-4003
Fax: (870) 483-4009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 7979-M Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7979-C Arkansas

Profile Details

NPI number 1588052740
LBN Legal business name Gean, Angela Renee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2014
Last updated Nov 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588052740 NPPES
Arkansas MEDICAID 235276719

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