Individual
CARRIE O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3362 UNIVERSITY AVE, WATERLOO, IA 50701-2006
(319) 235-6571
Mailing address
3362 UNIVERSITY AVE, WATERLOO, IA 50701-2006
(319) 235-6571
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G166325
IA
Other
Enumeration date
11/21/2021
Last updated
01/05/2022
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