Wanda O'Brien, LCSW
Social Worker, Clinical in Schnecksville, PA. Individual provider (NPI-1).
NPI number1609165802
StatusActive
Last updated in NPPESMar 29, 2011
Details
- NPI
- 1609165802
- Entity type
- Individual (NPI-1)
- Name
- Wanda O'Brien
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2011
- Last updated
- Mar 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CW016891 | PA | Yes |
| 1041C0700X | Social Worker, Clinical | 076060-1 | NY |
Practice location
4518 Ferrizzi DrSchnecksville, PA 18078-2239
Phone 631-767-7632
Mailing address
4518 Ferrizzi DrSchnecksville, PA 18078-2239
Phone 631-767-7632
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