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NPI Profile for DEBRA W MCDONALD in LAKE KIOWA, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Rehabilitation |
163WR0400X |
| NPI # | 1508010059 |
|
| Status | Active | |
| Credentials | RN,LPC | |
| Entity | Individual | |
| Enumeration date | 11/11/2008 | |
| Last updated | 04/25/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEBRA W MCDONALD
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DEBRA W MCDONALD, RN,LPC