Mcconnell, Martha Jo
Mcconnell, Martha Jo is an individual health care provider with primary practice located at 1083 Waterloo Geneva Rd , Waterloo NY 13165-1202. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcconnell, Martha Jo can be contacted via phone (315) 539-4049.Contact Information
Primary practice address
1083 Waterloo Geneva Rd
Waterloo NY 13165-1202
Phone: (315) 539-4049
Fax: (315) 539-4394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 080733 | New York |
Profile Details
| NPI number | 1609939842 |
|---|---|
| LBN Legal business name | Mcconnell, Martha Jo |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | May 20th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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