Marissa O'connor

NPI #1386286896 in Deer Park, New York

Provider Information

NPI Number: 1386286896
Entity Type: Individual
Name: Marissa O'connor
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Oct 16, 2019
Last Updated: Oct 16, 2019

Practice Location

Address: 770 GRAND BLVD STE 17
City: Deer Park
State: New York
ZIP Code: 11729-5725
Phone: (516) 361-3576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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