Individual
LISA DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
(860) 423-7933
Mailing address
1 OHIO AVE, NORWICH, CT 06360-1536
(860) 886-4850
(860) 886-6567
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001356
CT
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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