Individual
CARRIE LEE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
602 LITTLE KIDWELL AVE, CENTREVILLE, MD 21617-1215
(443) 350-3743
Mailing address
602 LITTLE KIDWELL AVE, CENTREVILLE, MD 21617-1215
(443) 350-3743
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22336
MD
Other
Enumeration date
11/08/2016
Last updated
07/05/2023
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