Individual
CORNELIA ANN O'MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 768-1890
Mailing address
1027 E FAIRMOUNT AVE, PHOENIX, AZ 85014-4806
(602) 263-1518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW640
ID
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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