Individual
KATHY DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 FILE ST, CLAYTON, GA 30525-3023
(706) 212-2037
(801) 437-2984
Mailing address
236 FILE ST, CLAYTON, GA 30525-3023
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004066
GA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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