Individual
AMANDA RAIBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4351 MCCANN RD, LONGVIEW, TX 75605
(903) 295-1680
(902) 295-1690
Mailing address
4351 MCCANN RD, LONGVIEW, TX 75605-2907
(903) 295-1680
(902) 295-1690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
09933096
CO
1041C0700X
Clinical Social Worker
Primary
37080
TX
Other
Enumeration date
07/29/2009
Last updated
04/13/2026
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