Individual
TERESA OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LCSW-R
Contact information
Practice address
1234 N EMPORIA AVE, WICHITA, KS 67214-2831
(316) 282-4985
Mailing address
1234 N EMPORIA AVE, WICHITA, KS 67214-2831
(316) 282-4985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4750
KS
1041C0700X
Clinical Social Worker
73 076120
NY
Other
Enumeration date
07/07/2006
Last updated
09/04/2021
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