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Individual
MS. KELLY O'BRIEN
Active
Individual
MS. KELLY O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0816521
NY
1041C0700X
Clinical Social Worker
Primary
103045
CA
Other
Enumeration date
03/08/2013
Last updated
11/23/2021
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