Individual
ELISABETH O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
19910 MALVERN RD, SHAKER HEIGHTS, OH 44122-2823
(646) 847-9395
Mailing address
PO BOX 1321, KINGSTON, NY 12402-1321
(646) 847-9395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
087864
NY
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/07/2015
Last updated
06/12/2023
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