Organization
EMILEE L. O'BRIEN LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILEE LAUREN O'BRIEN LICSW (SOLE PROPRIETOR)
(402) 768-8491
Entity
Organization
Contact information
Practice address
1320 G ST, GENEVA, NE 68361-2104
(402) 768-8491
Mailing address
1705 G. STREET, GENEVA, NE 68361
(402) 768-8491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932625647
BCBS
NE
05
—
1932625647
—
NE
Enumeration date
12/07/2018
Last updated
12/07/2018
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