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Organization
MARY A DONNELLY
Active
Organization
MARY A DONNELLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DONNELLY LPC, LMHC (OWNER)
(704) 453-3413
Entity
Organization
Contact information
Practice address
2804 DEL PRADO BLVD S STE 202-1, CAPE CORAL, FL 33904-7282
(239) 989-9738
Mailing address
PO BOX 152974, CAPE CORAL, FL 33915-2974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9795
FL
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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