Individual
MISS CLAIRE FRANCES DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.R., L.M.H.C.
Contact information
Practice address
32 HOLTON ST, MEDFORD, MA 02155-3555
(781) 307-2219
Mailing address
32 HOLTON ST, MEDFORD, MA 02155-3555
(781) 307-2219
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8735
MA
221700000X
Art Therapist
12-058
MA
Other
Enumeration date
07/11/2012
Last updated
05/30/2014
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