Individual
MRS. MARY FRANCES CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
278 NORTH HIGH ST., SUITE 1, ROMNEY, WV 26757
(304) 822-3429
(304) 822-7225
Mailing address
1105 BISHOP WALSH RD, CUMBERLAND, MD 21502-1903
(301) 759-4501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
924
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006317
—
WV
Enumeration date
09/21/2006
Last updated
07/08/2007
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