Individual
LAUREN SHANA DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 LOALDO DRIVE, BURLINGTON, VT 05408
(301) 437-7687
Mailing address
102 LOALDO DR, BURLINGTON, VT 05408-2419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0101543
VT
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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