Provider Demographics
NPI:1447625595
Name:LEBOW, DONNA LEE
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:LEE
Last Name:LEBOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 EAST ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-2110
Mailing Address - Country:US
Mailing Address - Phone:781-367-4916
Mailing Address - Fax:508-377-3752
Practice Address - Street 1:5 EAST ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-2110
Practice Address - Country:US
Practice Address - Phone:781-742-4515
Practice Address - Fax:508-377-3752
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1172221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical