Individual
CASEY DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 REMINGTON TRL, SOUTH LAKE TAHOE, CA 96150-6825
(530) 543-2327
Mailing address
2708 HENDERSON ST, SOUTH LAKE TAHOE, CA 96150-4126
(530) 600-2065
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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