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Individual

BROOKE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ASW

Contact information

Practice address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131
Mailing address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
92295
CA
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/05/2022
Last updated
07/05/2023
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