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Contact Information

ALICIA M DONAHUE, LICSW
15805 26TH AVE N UNIT D
PLYMOUTH, MN55447
 Phone: 763-843-6097
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ALICIA M DONAHUE · (Female)

NPI # 1588146914
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 09/01/2018
Last updated 09/01/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 21828
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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