Individual
COLLEEN E CONNORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9220 MENTOR AVE, MENTOR, OH 44060-6412
(440) 354-9924
(866) 277-2034
Mailing address
9220 MENTOR AVE, MENTOR, OH 44060-6412
(440) 354-9924
(866) 277-2034
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S.1101551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864093
—
OH
Enumeration date
09/14/2018
Last updated
09/14/2018
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