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Individual
MRS. CAROLYN SUE CONNELLY
Active
Individual
MRS. CAROLYN SUE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, LIMHP, LADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3053
NE
101Y00000X
Counselor
Primary
727
NE
101Y00000X
Counselor
753
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037660631
—
NE
Enumeration date
02/05/2007
Last updated
02/10/2025
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