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Individual

MISS DONNA MICHELLE CALLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7465 W LAKE MEAD BLVD, # 100, LAS VEGAS, NV 89128-1032
(702) 658-9563
Mailing address
6100 BROWNING DR, #12305, NORTH RICHLAND HILLS, TX 76180-6084
(817) 714-4969

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/18/2013
Last updated
08/18/2013
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