Individual
SARA CATHERINE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 352-0970
Mailing address
1216 SE LONDON WAY, LEES SUMMIT, MO 64081-2163
(816) 352-0970
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2020016794
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490088824
—
MO
Enumeration date
08/28/2020
Last updated
11/19/2020
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