Individual
MS. MARY JEANETTE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
CAMPUS MAGNET BUILDING, 207-01 116TH AVENUE, CAMBRIA HEIGHTS, NY 11411
(718) 978-1837
Mailing address
111 SOUTH CENTRE AVE., APT. 1LL, ROCKVILLE CENTRE, NY 11570
(516) 732-6871
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
098514
NY
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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