Individual
DANIELLE RAENAE MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBSW
Contact information
Practice address
3220 NE RIVERSIDE AVE, PENDLETON, OR 97801-3428
(541) 379-0537
Mailing address
3220 NE RIVERSIDE AVE, PENDLETON, OR 97801-3428
(541) 379-0537
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
R5716
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R5716
REGISTERED BACHELOR SOCIAL WORKER
OR
Enumeration date
02/12/2013
Last updated
02/12/2013
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