Individual
JENNIFER DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 SECOND ST, SOMERSET, KY 42501-2390
(606) 677-1166
Mailing address
517 GOLDEN EAGLE DR, LONDON, KY 40744-9381
(606) 224-2610
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11938379
KY
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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