Individual
CARLA SUE DONOHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4243 LINCOLNSHIRE DR, MOUNT VERNON, IL 62864-2157
(618) 231-3314
(618) 382-3239
Mailing address
17163 E LIBERTY RD, MOUNT VERNON, IL 62864-7451
(618) 231-3314
(618) 382-3239
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149.011890
IL
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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