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Individual
MR. MICHAEL DONNELLY
Active
Individual
MR. MICHAEL DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005577
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1465J
BLUE CROSS BLUE SHIELD
NC
05
—
6106654
—
NC
Enumeration date
03/19/2007
Last updated
11/08/2023
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