Individual
HOLLIE LYNN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
106 SOUTHPARK DR STE C, BLACKSBURG, VA 24060-6809
(855) 284-7483
Mailing address
200 JACKSON ST, COLUMBUS, IN 47201-6717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015389
VA
1041C0700X
Clinical Social Worker
34010217A
IN
Other
Enumeration date
03/01/2023
Last updated
09/09/2024
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