Individual
DONNA M CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13 MADISON AVE, MADISON, NJ 07940-1400
(908) 296-0510
Mailing address
12 WHITE TAIL LN, BEDMINSTER, NJ 07921-1875
(908) 234-2448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04723300
NJ
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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