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Individual
OMAR J BREEDLOVE
Active
Individual
OMAR J BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
175T00000X
Peer Specialist
MPSS-EQTMLB
CA
Other
Enumeration date
01/19/2021
Last updated
08/25/2025
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