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Individual

PAUL FRANCIS OBRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
71 ALLEN ST, RUTLAND, VT 05701-4570
(802) 773-3386
Mailing address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 773-3386

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
097.0134341
STATE OF VERMONT NON LICENSED AND CERTIFIED PSYCHOTHERAPIST
VT
Enumeration date
10/09/2018
Last updated
10/09/2018
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