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Individual
SARA O'BRIEN
Active
Individual
SARA O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
095042
NY
1041C0700X
Clinical Social Worker
Primary
088979-01
NY
Other
Enumeration date
06/30/2015
Last updated
12/13/2019
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