Individual
SUSAN C. DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
191 N BROADWAY UNIT 205, MILWAUKEE, WI 53202-6031
(248) 515-7484
Mailing address
191 N BROADWAY UNIT 205, MILWAUKEE, WI 53202-6031
(248) 515-7484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801018085
MI
1041C0700X
Clinical Social Worker
Primary
8891-123
WI
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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