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Individual

BRENT SKIBISKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2350 BUHNE ST, EUREKA, CA 95501-3238
(707) 443-4593
(707) 269-7116
Mailing address
30856 AGOURA RD APT K12, AGOURA HILLS, CA 91301-4364

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115766
CA

Other

Enumeration date
06/03/2024
Last updated
06/05/2024
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