Individual
JENNIFER ERIN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
20291
MN
1041C0700X
Clinical Social Worker
Primary
8573 - 123
WI
Other
Enumeration date
06/20/2016
Last updated
02/24/2017
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