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Individual

BRIAN PATRICK DONNELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
237 HIGHLAND AVE, NEEDHAM, MA 02494-3036
(781) 801-2122
Mailing address
19 VINELAND ST, BRIGHTON, MA 02135-2012
(781) 801-2122

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
043097170
MA

Other

Enumeration date
06/17/2013
Last updated
06/17/2013
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