Individual
CARRIE ANN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 527-1790
(616) 527-0538
Mailing address
7735 THORNBURST CT SE, BYRON CENTER, MI 49315-8392
(616) 656-0945
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802074933
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715928
—
MI
Enumeration date
09/29/2006
Last updated
07/09/2007
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