Individual
YVETTE MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W, L.C.S.W.
Contact information
Practice address
127 HAGON RD, ALGODONES, NM 87001-8087
(505) 771-9900
Mailing address
3 CEDAR ROAD, ALGODONES, NM 87001
(505) 771-9900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09697
NM
Other
Enumeration date
11/03/2015
Last updated
11/02/2016
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