Shativia Mcdonald, AWS

NPI #1700119211 in Clovis, New Mexico

Provider Information

NPI Number: 1700119211
Entity Type: Individual
Name: Shativia Mcdonald, AWS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: AWS
Enumeration Date: Sep 15, 2009
Last Updated: Sep 15, 2009

Practice Location

Address: 121 TOWNSGATE PLZ
City: Clovis
State: New Mexico
ZIP Code: 88101-3714
Phone: (575) 742-2620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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