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Individual
SUE ANN O'BRIEN
Active
Individual
SUE ANN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC1886
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
12/09/2014
Last updated
05/02/2024
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