Doracita Marie Lonetree, LCSW | |
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 | |
(928) 729-8000 | |
Not Available |
Full Name | Doracita Marie Lonetree |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255469441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C-10175 (New Mexico) | Primary |
Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
Mailing Address | Practice Location Address |
---|---|
Doracita Marie Lonetree, LCSW 1425 Elva Dr, Gallup, NM 87301-5823 Ph: (505) 567-9386 | Doracita Marie Lonetree, LCSW Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000 |
Miranda Frances Blatchford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: .5 Miles Sw Of The Fd Field House, Bldg #6905, Fort Defiance, AZ 86504 Phone: 928-729-4012 Fax: 928-729-4200 | |
Davina D. Morris, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Corner Of Routes N12 & N7, Fort Defiance, AZ 86504 Phone: 928-729-8514 |