Individual
MRS. SARAH O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 RIVER ST E, KETCHUM, ID 83340-8334
(208) 450-5645
Mailing address
PO BOX 533, KETCHUM, ID 83340-0481
(503) 936-0379
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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