Individual
ROBERTA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW CEAP
Contact information
Practice address
2311 104TH ST, LUBBOCK, TX 79423-1789
(910) 467-6288
Mailing address
2311 104TH ST, LUBBOCK, TX 79423-1789
(910) 467-6288
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
64982
TX
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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