Provider Demographics
NPI:1225005200
Name:RAAB, JOAN (MSW)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:RAAB
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5249 US HIGHWAY 277 S
Mailing Address - Street 2:APT. 273
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-4594
Mailing Address - Country:US
Mailing Address - Phone:325-690-0562
Mailing Address - Fax:
Practice Address - Street 1:7MDOS/SGOH
Practice Address - Street 2:697 LOUISIANA DRIVE
Practice Address - City:DYESS AIR FORCE BASE
Practice Address - State:TX
Practice Address - Zip Code:79607-1397
Practice Address - Country:US
Practice Address - Phone:325-696-5380
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical