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Individual

PATRICIA MCCONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1245 BIRCH AVE, COTTAGE GROVE, OR 97424-1413
(541) 942-3939
(541) 942-9310
Mailing address
3810 KINCAID ST, EUGENE, OR 97405-4572

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7505
OR

Other

Enumeration date
11/13/2014
Last updated
12/20/2017
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