Most Relevant Information
Provider Data
| NPI Number: | 1003511247 |
| Provider Name: | ERIN E DONOVAN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/04/2023 |
| Last Updated: | 04/04/2023 |
Provider Practice Location
12 W HARRISON ST
SULLIVAN
IL
619511907
Practice Location Phone/Fax
| Phone: | 2177284358 |
| Fax: |
Provider Mailing Location
12 W HARRISON ST
SULLIVAN
IL
619511907
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |