Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 6801085361 | MI |
NPI | 1003117904 |
---|---|
Provider Name | Jane L Doner |
First Address | Ann Arbor, MI 48103-9353 |
Second Address | Ann Arbor, MI 48103-9499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2010 |
Last Update Date | 09/11/2010 |