Individual
MS. WINONA GAYLE CONNOR
Active
Individual
MS. WINONA GAYLE CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2052-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14189573
CAQH
AR
05
—
236859719
—
AR
01
—
5EC12
BCBS
AR
Enumeration date
07/08/2008
Last updated
12/27/2019
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