Provider Information for 1447349832
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Mrs. SARAH BETH DONOVAN LPC
Sex: Female
NPI: 1447349832
Last Updated: 2021-12-09
Certification Date: 2021-12-09
Certification Date: 2021-12-09
Details
| Name | Value | |||||||||||||||||||||
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| NPI | 1447349832 | |||||||||||||||||||||
| Enumeration Date | 2006-10-12 | |||||||||||||||||||||
| NPI Type | NPI-1 Individual | |||||||||||||||||||||
| Sole Proprietor | YES | |||||||||||||||||||||
| Status | Active | |||||||||||||||||||||
| Mailing Address | 1160 KEPLER DR GREEN BAY, WI 54311-8321 United States Phone: 920-288-5500 | Fax:920-288-5510 | |||||||||||||||||||||
| Primary Practice Address | 1160 KEPLER DR GREEN BAY, WI 54311 United States Phone: 920-288-5500 | Fax:920-288-5510 | |||||||||||||||||||||
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