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Individual
ELIZABETH SANCHEZ O'BRIEN
Active
Individual
ELIZABETH SANCHEZ O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
111079
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111079
PROFESSIONAL LICENSE
MA
Enumeration date
08/16/2019
Last updated
08/16/2019
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