Individual
MRS. DEBORAH O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
1655 W MEQUON RD, MEQUON, WI 53092-3254
(414) 266-3339
(262) 240-9745
Mailing address
8036 N SANTA MONICA BLVD, FOX POINT, WI 53217-2968
(608) 220-0887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
128846-121
WI
104100000X
Social Worker
Primary
9693
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588225270
—
WI
Enumeration date
06/24/2019
Last updated
01/21/2022
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