Individual
DONNA M. JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1321 N MAIN ST, VIROQUA, WI 54665-1156
(608) 637-7052
(608) 637-8500
Mailing address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3616-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13G85JO
BCBS-MN
MN
01
—
39082186305
UNITY HEALTH INSURANCE
WI
05
—
39693200
—
WI
01
—
HP66985
HEALTHPARTNERS
MN
Enumeration date
12/12/2006
Last updated
09/12/2011
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