Individual
ELISE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
Mailing address
101 PLEASANT HILL RD, BRUNSWICK, ME 04011-7453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC15522
ME
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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