Provider Demographics
NPI:1003117904
Name:DONER, JANE L (MA,LMSW)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:L
Last Name:DONER
Suffix:
Gender:F
Credentials:MA,LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 WOODGROVE DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9353
Mailing Address - Country:US
Mailing Address - Phone:734-358-2197
Mailing Address - Fax:
Practice Address - Street 1:2479 PETERS RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-9499
Practice Address - Country:US
Practice Address - Phone:734-665-5050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010853611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical