Individual
AIMEE LORRAINE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 BELLE TERRE RD STE 202, PORT JEFFERSON, NY 11777-2318
(631) 689-0220
(631) 686-7626
Mailing address
625 BELLE TERRE RD STE 202, PORT JEFFERSON, NY 11777-2318
(631) 689-0220
(631) 686-7626
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
070537-1
NY
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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