Most Relevant Information
Provider Data
| NPI Number: | 1003691007 |
| Provider Name: | TARA THERESA O'CONNELL LCSW-S |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 41945 |
Most Important Dates
| Enumeration Date: | 08/28/2023 |
| Last Updated: | 08/28/2023 |
Provider Practice Location
3129 TOPEKA ST
CORPUS CHRISTI
TX
784042436
Practice Location Phone/Fax
| Phone: | 3615638986 |
| Fax: |
Provider Mailing Location
3129 TOPEKA ST
CORPUS CHRISTI
TX
784042436
Provider Mailing Phone/Fax
| Phone: | 3615638986 |
| Fax: |