Individual
CARLY OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
436 MONARCH DR, YORK, PA 17403-9004
(732) 236-1901
Mailing address
436 MONARCH DR, YORK, PA 17403-9004
(732) 236-1901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
081371
NY
1041C0700X
Clinical Social Worker
Primary
44SC05747800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081371
LICENSED CLINICAL SOCIAL WORKER
NY
01
—
44SC05747800
LICENSED CLINICAL SOCIAL WORKER
NJ
Enumeration date
01/11/2021
Last updated
01/11/2021
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