Individual
KARI L DONATELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-4342
Mailing address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-4342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14022
ME
1041C0700X
Clinical Social Worker
LCS23305
CA
Other
Enumeration date
11/09/2006
Last updated
07/02/2020
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