Individual
MARY KATHLEEN OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 CHURCH STREET, BASKING RIDGE, NJ 07920
(973) 348-5919
Mailing address
159 GARDEN DR, SOUTH PLAINFIELD, NJ 07080-2952
(732) 395-8578
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00413600
NJ
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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