Individual
BROOKE CELIA VANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3655 ALAMO ST STE 202, SIMI VALLEY, CA 93063
(323) 459-4968
Mailing address
2625 BLOSSOM ST, SIMI VALLEY, CA 93063-6317
(818) 451-5236
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW80483
CA
Other
Enumeration date
09/06/2016
Last updated
10/10/2018
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