Individual
MISS BROOKE ELIZABETH BARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
17959 PUEBLO VISTA LN, SAN DIEGO, CA 92127-1279
(858) 592-0293
Mailing address
17959 PUEBLO VISTA LN, SAN DIEGO, CA 92127-1279
(858) 592-0293
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33005441A
IN
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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