Individual
MS. MARY GINA CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
495 ERLANGER RD, SUITE 204, ERLANGER, KY 41018-1468
(859) 342-6444
(859) 342-0999
Mailing address
495 ERLANGER RD, SUITE 204, ERLANGER, KY 41018-1468
(859) 342-6444
(859) 342-0999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1557
KY
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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