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Individual
TIMOTHY C DONOVAN
Active
Individual
TIMOTHY C DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LCSW-R ACSW DCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34004228A
IN
1041C0700X
Clinical Social Worker
I8680
OH
1041C0700X
Clinical Social Worker
Primary
PR032920
NY
Other
Enumeration date
07/18/2006
Last updated
07/06/2011
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