Individual
MS. DONNA DAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
15 CHURCH STREET, VINEYARD HAVEN, MA 02568
(508) 693-5523
(508) 693-8619
Mailing address
38 PURITAN DRIVE, EDGARTOWN, MA 02539
(508) 693-5523
(508) 693-8619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112151
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
773990000
MAGELLAN
MA
01
—
P08420
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/08/2007
Last updated
07/08/2007
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