Individual
MR. STEPHEN J O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Contact information
Practice address
428 RICHMOND AVE APT 1, BUFFALO, NY 14222-1741
(163) 971-6447
Mailing address
428 RICHMOND AVE APT 1, BUFFALO, NY 14222-1741
(167) 397-1644
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01368923
—
NY
Enumeration date
09/28/2011
Last updated
04/05/2019
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