Individual
MARY DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 HAZARD AVE, ENFIELD, CT 06082-4584
(860) 763-8044
(860) 272-2990
Mailing address
85 BAYNE ST, EAST LONGMEADOW, MA 01028-2215
(413) 525-2176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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