Individual
MS. KELLY ROSE O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, CAS, NCSP
Contact information
Practice address
7401 GIBBES ST, IRMO, SC 29063-2819
(803) 476-4214
Mailing address
7401 GIBBES ST, IRMO, SC 29063-2819
(803) 476-4214
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
248040
SC
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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