Individual
MRS. ALICIA ELLEN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
195 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-1755
(973) 850-4326
Mailing address
195 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-1755
(973) 850-4326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05834400
NJ
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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