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Individual
SUSAN MARGARET O'BRIEN
Active
Individual
SUSAN MARGARET O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112102
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070420
NEIGHBORHOOD HEALTH PLAN
MA
01
—
1467552083
MEDICARE PART B
MA
01
—
495332
TUFTS HEALTH PLAN
MA
01
—
P08630
BLUE CROSS
MA
Enumeration date
09/24/2006
Last updated
12/28/2012
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