Individual
BRIDGET CLARE DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 W DICKENS AVE APT G, CHICAGO, IL 60647-4530
(219) 728-8644
Mailing address
2015 W DICKENS AVE APT G, CHICAGO, IL 60647-4530
(219) 728-8644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010603
GA
1041C0700X
Clinical Social Worker
Primary
149.027575
IL
Other
Enumeration date
06/27/2023
Last updated
04/29/2026
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