Individual
DEBBIE J OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4937 SPRING RD, VERONA, NY 13478-3526
(315) 361-8400
Mailing address
PO BOX 383, WAMPSVILLE, NY 13163-0383
(315) 440-4714
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251300000X
—
NY
Enumeration date
06/22/2011
Last updated
06/22/2011
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