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Individual

MARY ELIZABETH O'BRIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1705 LONGWOOD RD, EDGEWATER, MD 21037-2320
(410) 303-2982
(410) 956-7686
Mailing address
1705 LONGWOOD RD, EDGEWATER, MD 21037-2320
(410) 956-8434
(410) 956-7686

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1003
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167750100
MD
Enumeration date
03/06/2008
Last updated
03/15/2013
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