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Individual

LISA MARIE O'CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1604 RULANE DR, MIDWEST CITY, OK 73110-9999
(608) 669-6609
Mailing address
1604 RULANE DR, MIDWEST CITY, OK 73110-9999
(608) 669-6609

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
128794-121
WI
1041C0700X
Clinical Social Worker
Primary
OK

Other

Enumeration date
09/13/2012
Last updated
09/13/2012
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