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NPI Code Detail

MEDICARE: MR. RAYMOND F O'BRIEN LCSW

MEDICARE:  MR. RAYMOND F O'BRIEN  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker5824-CNV

General Provider Information

NPI Number : 1144472770
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAYMOND F O'BRIEN LCSW
Provider Business Mailing Address
First Line : 2580 N RANCHO DR
Second Line : SUITE 104A
City : NORTH LAS VEGAS
State : NV
Zip : 89032
Country : US
Telephone Number : 702-825-0729
Fax Number :
Provider Business Practice Location Address
First Line : 2580 N RANCHO DR
Second Line : SUITE 104A
City : NORTH LAS VEGAS
State : NV
Zip : 89032
Country : US
Telephone Number : 702-825-0729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2008
Last Update Date : 11/07/2022

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Directions to “ MR. RAYMOND F O'BRIEN LCSW” Practice Location

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