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Individual
MICHAEL P O'BRIEN
Active
Individual
MICHAEL P O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.162309
OH
104100000X
Social Worker
S.1903366
OH
1041C0700X
Clinical Social Worker
Primary
I.2203546-SUPV
OH
Other
Enumeration date
06/01/2018
Last updated
09/23/2024
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