Individual
MS. CAROL ANN OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
308 12TH AVE S, BUFFALO, MN 55313-2321
(763) 682-4400
(763) 682-1353
Mailing address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5992
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101949
OPTUM
—
01
—
151284C851
UCARE
—
01
—
6250430
MEDICA
—
01
—
73Q840B
BCBS
—
05
—
762672000
—
MN
01
—
922241025900
PREFERRED ONE
—
01
—
HP32385
HEALTH PARTNERS
—
Enumeration date
06/22/2006
Last updated
01/27/2010
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