Individual
SHELLEY RAE DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ECSE, TVI/COMS
Contact information
Practice address
205 JEFFERSON ST, JEFFERSON CITY, MO 65101-2901
(573) 751-4212
Mailing address
PO BOX 480, JEFFERSON CITY, MO 65102-0480
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
—
MO
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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