Individual
EMILY GRACE DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPATA
Contact information
Practice address
4801 OLYMPIA PARK PLZ STE 1200, LOUISVILLE, KY 40241-2090
(502) 254-7300
Mailing address
1126 REUTLINGER AVE APT 401, LOUISVILLE, KY 40204-1976
(812) 725-3244
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
288193
KY
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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