Individual
ALICIA MAE DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
15805 26TH AVE N UNIT D, PLYMOUTH, MN 55447
(763) 843-6097
Mailing address
15805 26TH AVE N UNIT D, PLYMOUTH, MN 55447
(763) 843-6097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21828
MN
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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