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Individual

MS. THERESA A. O'BRIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 N WILLARD ST, COTTONWOOD, AZ 86326-3651
(928) 634-2231
(928) 634-2874
Mailing address
1 N WILLARD ST, COTTONWOOD, AZ 86326-3651
(928) 634-2231
(928) 634-2874

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
SW10184
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
615164
AZ
Enumeration date
10/16/2006
Last updated
07/08/2007
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