Individual
MARY THERESA O'DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED RECOVERY
Contact information
Practice address
206 S. ORANGE ST., STE 5, MEDIA, PA 19063
(855) 687-2410
Mailing address
206 S. ORANGE ST., STE 5, MEDIA, PA 19063
(855) 687-2410
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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