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Individual

REBECCA DONALDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7400 NEW LA GRANGE RD STE 304, LOUISVILLE, KY 40222-4870
(502) 385-4151
Mailing address
PO BOX 1695, NEW ALBANY, IN 47151-1695
(502) 835-0012
(812) 660-9003

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201183670 A
HEWLETT PACKARD ENTERPRISES
IN
Enumeration date
08/29/2016
Last updated
11/06/2024
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