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Individual
JENNIFER C CONNOLLY
Active
Individual
JENNIFER C CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P006709
NC
1041C0700X
Clinical Social Worker
Primary
C008749
NC
Other
Enumeration date
09/06/2012
Last updated
06/16/2026
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