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NPI Code Detail

MEDICARE: MARY BELL DONAHUE LCSW

MEDICARE: MARY BELL DONAHUE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW7094FL

General Provider Information

NPI Number : 1144649849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY BELL DONAHUE LCSW
Provider Business Mailing Address
First Line : 4931 N.W. 58TH TERR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067
Country : US
Telephone Number : 954-803-6295
Fax Number :
Provider Business Practice Location Address
First Line : 901 S 62ND AVE
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-1848
Country : US
Telephone Number : 954-893-0109
Fax Number : 854-893-9750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2014
Last Update Date : 04/09/2014

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Directions to “ MARY BELL DONAHUE LCSW” Practice Location

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