Individual
AMELIA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(408) 838-0392
Mailing address
118 W 114TH ST APT 5E, NEW YORK, NY 10026-3059
(408) 838-0392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
120024
NY
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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