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Individual
JAMES EDWARD OCONNOR
Active
Individual
JAMES EDWARD OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1023457
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023457
MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE
MA
Enumeration date
12/21/2018
Last updated
12/21/2018
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