Individual
JENNIFER CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
Mailing address
11 OLD GREENVILLE RD, PIEDMONT, SC 29673-9641
(864) 704-8167
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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