Individual
MS. COLLEEN ANN O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4773 W SENECA TPKE, SYRACUSE, NY 13215-2106
(315) 956-4669
Mailing address
4773 W SENECA TPKE, SYRACUSE, NY 13215-2106
(315) 956-4669
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
061957-1
NY
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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