Individual
TANIA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 LEAK ST, ROCKINGHAM, NC 28379-3765
(910) 895-6270
Mailing address
PO BOX 122, ROCKINGHAM, NC 28380-0122
(910) 461-1570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCAS-25156
NC
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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