Individual
HALEY ROSE DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 10TH AVE S, CLEAR LAKE, SD 57226-2151
(605) 951-1951
Mailing address
PO BOX 83, HOWARD, SD 57349-0083
(605) 951-1951
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
346A
SD
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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