Individual
CHARLSA DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 COLLEGE DR, MERIDIAN, MS 39307-5345
(601) 483-4821
(601) 485-8727
Mailing address
1415 COLLEGE DR, MERIDIAN, MS 39307-5345
(601) 483-4821
(601) 485-8727
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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