Individual
GAVIN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1555 ELM ST, MANCHESTER, NH 03101-1203
(603) 668-4111
(603) 628-7757
Mailing address
2 WALL ST STE 300, MANCHESTER, NH 03101-1518
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1838
NH
Other
Enumeration date
12/12/2006
Last updated
04/01/2021
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