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Individual

JANENE MARIE DONARSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2460 LAKESHORE DR, SAINT JOSEPH, MI 49085-1874
(269) 982-3832
(269) 281-0351
Mailing address
4384 LAUREL DR, SAINT JOSEPH, MI 49085-9311
(269) 982-3832
(269) 281-0351

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013851
MI
103TC0700X
Clinical Psychologist
6301013851
MI
1041C0700X
Clinical Social Worker
6801087845
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
62-79049
MI
Enumeration date
02/28/2007
Last updated
05/28/2021
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