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Individual

MS. LISAANNE MARIE DONAHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(856) 863-0006
(856) 881-7614
Mailing address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(856) 863-0006
(856) 881-7614

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00062500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
284013000
MAGELLAN
NJ
Enumeration date
01/12/2007
Last updated
07/08/2007
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