Individual
COREY RUSSELL MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
3130 EXECUTIVE PKWY STE 2D, TOLEDO, OH 43606-5534
(567) 343-8743
Mailing address
3130 EXECUTIVE PKWY STE 2D, TOLEDO, OH 43606-5534
(567) 343-8743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2203927-SUPV
OH
Other
Enumeration date
06/07/2018
Last updated
11/11/2023
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