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Individual
KELLY LYNN O'BRIEN
Active
Individual
KELLY LYNN O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801105544
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801101597
STATE OF MI LICENSE
MI
Enumeration date
08/02/2017
Last updated
09/09/2026
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