Individual
MARY ELIZABETH O'DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
96 KEITH ST, SAINT AUGUSTINE, FL 32084-4944
(904) 321-9616
Mailing address
96 KEITH ST, SAINT AUGUSTINE, FL 32084-4944
(904) 321-9616
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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