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Individual

DANIEL O'CONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 725-2800
(908) 704-1790
Mailing address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06663900
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06240200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0023701
NJ
05
0539198
NJ
05
7797403
NJ
Enumeration date
04/07/2022
Last updated
08/02/2023
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