Individual
CHERYL DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
285 E MAIN ST STE LL5, SMITHTOWN, NY 11787-2980
(631) 724-0600
Mailing address
14 LEMARK CT, SETAUKET, NY 11733-1960
(631) 889-1613
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118944
NY
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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