Basic Information
| Provider Information | |||||||||
| NPI: | 1699000984 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STRIBLING | ||||||||
| FirstName: | DONNA | ||||||||
| MiddleName: | REYNOLDS | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LMSW-AP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3421 HUNTERS WALK | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782302049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2104936940 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7400 MERTON MINTER ST | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782294404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106175300 | ||||||||
| FaxNumber: | 2109493326 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2009 | ||||||||
| LastUpdateDate: | 10/05/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 17488 | TX | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.