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Individual

LAWRANCE O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW, LCADC

Contact information

Practice address
848 W BAY AVE, BARNEGAT, NJ 08005-2126
(732) 367-4700
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(732) 367-4700

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00213100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7506601
NJ
Enumeration date
10/21/2020
Last updated
10/21/2020
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