Individual
LISA MULLIGAN O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 797-2660
Mailing address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 797-2660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05764800
NJ
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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