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Individual

SUSAN E LOWERY-O'CONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD/PSYCHOLOGIST

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
#4359
OH
103TC2200X
Clinical Child & Adolescent Psychologist
#4359
OH
103TF0000X
Family Psychologist
#4359
OH

Other

Enumeration date
10/18/2016
Last updated
10/18/2016
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