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Individual

MR. HENRY JEROME OBRIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.S.

Contact information

Practice address
7468 HUNTERS GREENE CIR, LAKELAND, FL 33810-5212
(863) 816-7116
Mailing address
7468 HUNTERS GREENE CIR, LAKELAND, FL 33810-5212
(863) 816-7116

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS884
FL

Other

Enumeration date
09/23/2009
Last updated
09/23/2009
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