Individual
GUY S CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1467132
WI
101YP2500X
Professional Counselor
334125
WI
1041C0700X
Clinical Social Worker
Primary
1127123
WI
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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