Individual
DANIELLE NICOLE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
Mailing address
PO BOX 1057, MOSES LAKE, WA 98837-0160
(509) 765-9239
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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