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Organization
KELLY OBRIEN LICENSED CLINICAL SOCIAL WORKER
Active
Organization
KELLY OBRIEN LICENSED CLINICAL SOCIAL WORKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY THERESA O'BRIEN LCSW (SOLE MBR)
(315) 325-8619
Entity
Organization
Contact information
Practice address
365 SUMMERHAVEN DR N, EAST SYRACUSE, NY 13057-3130
(315) 325-8619
Mailing address
365 SUMMERHAVEN DR N, EAST SYRACUSE, NY 13057-3130
(315) 325-8619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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