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Individual
MRS. SHANNON O'CONNOR
Active
Individual
MRS. SHANNON O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1466
NC
1041C0700X
Clinical Social Worker
Primary
C006483
NC
Other
Enumeration date
08/16/2009
Last updated
08/16/2009
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