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Contact Information

AMANDA RAIBOURN, LCSW
4351 MCCANN RD
LONGVIEW, TX75605
 Phone: 903-295-1680
 Fax: 902-295-1690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for AMANDA RAIBOURN · (Female)

NPI # 1346471026
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/29/2009
Last updated 04/13/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • CO License # 09933096
  • TX License # 37080
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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