Individual
LUCRETIA FAY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 NE AVE A, IDABEL, OK 74745-3813
(580) 286-3301
(580) 286-6385
Mailing address
RR 2 BOX 229-1, IDABEL, OK 74745-9427
(580) 212-7610
(580) 286-6385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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