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Individual

MS. MAUREEN O BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSA LICSW

Contact information

Practice address
20 GROVE STREET, PETERBOROUGH CLINICAL ASSOCIATES, PETERBOROUGH, NH 03458
(603) 924-7462
(603) 924-2138
Mailing address
PO BOX 125, FITZWILLIAM, NH 03447
(603) 924-7462
(603) 924-2138

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1015861
MA
1041C0700X
Clinical Social Worker
Primary
240
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006245
VALUE OPTIONS
01
1039550
BEACON HEALTH
01
1402015Y0NH01
ANTHEM
01
15398
CIGNA
05
80001345
NH
01
NH240
AETNA
01
P07848
BLUE CROSS MA
Enumeration date
09/27/2006
Last updated
03/31/2023
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