Provider Information for 1477957579
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NORA A OCONNOR LCSW
Sex: Female
NPI: 1477957579
Last Updated: 2014-10-31
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1477957579 | ||||||||
| Enumeration Date | 2014-10-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 566 S SAN VICENTE BLVD 102 LOS ANGELES, CA 90048-4650 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 566 S SAN VICENTE BLVD 102 LOS ANGELES, CA 90048-4650 United States Phone: 310-736-8623 | Fax: | ||||||||
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