Kathryn Donovan | Milford, MA • PECOS Search

Kathryn Donovan

Social Worker

Behavioral Health & Social Service Providers

345 Fortune Blvd, Milford, MA 01757-1723

PECOS Enrollment

Based on the most recent information from CMS, provider Kathryn Donovan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1972781193
Provider Type
Individual
Full Name
Donovan, Kathryn
Title
Ms.
Credential
LICSW

Gender
Female
Sole Proprietor
No
Enumeration Date
2/11/2008
Last Updated
11/30/2009

Contact Information

Practice Location

345 Fortune Blvd, Milford, MA 01757-1723

Unlisted Fax

Mailing Location

345 Fortune Blvd, Milford, MA 01757-1723

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 114241 Massachusetts