Individual
CONSTANCE SARAH MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 MCGUIRE DR, MODESTO, CA 95355-3954
(209) 409-9658
Mailing address
502 NW SHERIDAN RD STE 4, LAWTON, OK 73505-6505
(580) 730-8031
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
OK
Other
Enumeration date
06/13/2017
Last updated
04/12/2024
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