Individual
MS. GRACE O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
15 TUFTS ST, CHARLESTOWN, MA 02129-2711
(857) 238-1189
Mailing address
1402 LEXINGTON AVE APT 5, NEW YORK, NY 10128-1621
(203) 505-3564
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103841
NY
Other
Enumeration date
06/11/2021
Last updated
11/10/2021
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