Individual
NOREEN DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33007689A
IN
1041C0700X
Clinical Social Worker
Primary
34008676A
IN
251S00000X
Community/Behavioral Health Agency
1063857373
KY
Other
Enumeration date
02/11/2014
Last updated
12/20/2019
Update your record
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