Individual
MR. BRIAN LEE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7707 AUSTIN RD, STOCKTON, CA 95215-8312
(209) 467-1773
Mailing address
3701 BRIXTON PL, MODESTO, CA 95356-0864
(209) 404-0529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19345
CA
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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