Individual
MRS. PATRICIA WELLS OCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1715 LANSING AVE STE 672, JACKSON, MI 49202-2193
(517) 788-4364
(517) 780-4739
Mailing address
1715 LANSING AVE STE 672, JACKSON, MI 49202-2193
(517) 788-4364
(517) 780-4739
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6801021081
MI
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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