Individual
MAYA ELROSE DURFEE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 S CHICAGO AVE, BISMARCK, IL 61814-5175
(402) 706-7873
Mailing address
204 S CHICAGO AVE, BISMARCK, IL 61814-5175
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
149030448
IL
1041S0200X
School Social Worker
Primary
149030448
IL
Other
Enumeration date
12/01/2025
Last updated
12/08/2025
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