Raibourn, Amanda
Raibourn, Amanda is an individual health care provider with primary practice located at 4351 Mccann Rd , Longview TX 75605. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Raibourn, Amanda can be contacted via phone (903) 295-1680.Contact Information
Primary practice address
4351 Mccann Rd
Longview TX 75605
Phone: (903) 295-1680
Fax: (902) 295-1690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 37080 | Texas |
Profile Details
| NPI number | 1346471026 |
|---|---|
| LBN Legal business name | Raibourn, Amanda |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2009 |
| Last updated | Oct 3rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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