Individual
BRIAN WEDDERBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7165 BURTON AVE, ROHNERT PARK, CA 94928-3316
(707) 595-8866
Mailing address
3322 CHANATE RD, SANTA ROSA, CA 95404-1708
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW72325
CA
Other
Enumeration date
11/04/2016
Last updated
02/10/2022
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