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Individual
KELLY OBRIEN
Active
Individual
KELLY OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MCAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
FL
1041C0700X
Clinical Social Worker
44SC05194700
NJ
1041C0700X
Clinical Social Worker
Primary
SW11375
FL
Other
Enumeration date
02/16/2012
Last updated
04/01/2024
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