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Individual
MS. MARY O'BRIEN
Active
Individual
MS. MARY O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30264
NY
1041C0700X
Clinical Social Worker
Primary
085736
NY
1041S0200X
School Social Worker
2916237
NY
Other
Enumeration date
05/20/2013
Last updated
08/26/2020
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