Individual
DORACITA MARIE LONETREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
1425 ELVA DR, GALLUP, NM 87301-5823
(505) 567-9386
(505) 863-6612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10175
NM
Other
Enumeration date
03/01/2007
Last updated
07/18/2023
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