Individual
DONNA FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 TRAVIS ST, ROANOKE, TX 76262-8603
(817) 437-4505
Mailing address
209 TRAVIS ST, ROANOKE, TX 76262-8603
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
24429
TX
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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