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Individual
PETER R O'HERRON
Active
Individual
PETER R O'HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
058540
NY
1041C0700X
Clinical Social Worker
058540
NY
106H00000X
Marriage & Family Therapist
058540
NY
Other
Enumeration date
03/15/2007
Last updated
09/11/2025
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