Most Relevant Information
Provider Data
| NPI Number: | 1003472259 |
| Provider Name: | KATELYN LEE O'CONNELL LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 150.106770 |
Most Important Dates
| Enumeration Date: | 05/14/2019 |
| Last Updated: | 03/29/2023 |
Provider Practice Location
1120 E MAIN ST STE 201
ST CHARLES
IL
601742287
Practice Location Phone/Fax
| Phone: | 6303776613 |
| Fax: | 6303776225 |
Provider Mailing Location
1120 E MAIN ST STE 201
ST CHARLES
IL
601742287
Provider Mailing Phone/Fax
| Phone: | 6303776613 |
| Fax: | 6303776225 |