Individual
AILISH KATHLEEN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SHATTUCK ST, WORCESTER, MA 01605-3650
(508) 769-2856
Mailing address
18 STEPPINGSTONE DR, HOLDEN, MA 01520-1783
(774) 232-1578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117284
MA
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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