Individual
CATHY SUPON CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
220 9TH ST, PORT ST JOE, FL 32456-1924
(850) 215-0025
Mailing address
1420 PARKWAY DR, PANAMA CITY, FL 32404-7328
(850) 215-0025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8892
FL
Other
Enumeration date
01/21/2008
Last updated
09/27/2019
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