Individual
FREDA K MONU O' DONOGHUE
Active
Individual
FREDA K MONU O' DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
33622
IL
1041C0700X
Clinical Social Worker
149.020544
IL
1041C0700X
Clinical Social Worker
Primary
LW61026569
WA
Other
Enumeration date
08/09/2018
Last updated
04/21/2021
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