Individual
GINA MARIA DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.;J.D.
Contact information
Practice address
9081 WATER RIDGE DR, NEWPORT, MI 48166-9581
(734) 644-1466
(313) 638-2470
Mailing address
9081 WATER RIDGE DR, NEWPORT, MI 48166-9581
(734) 644-1466
(313) 638-2470
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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