Individual
BROOKE RAE LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 N MAIN ST STE 127, CORONA, CA 92878-1440
(951) 751-9636
Mailing address
4172 CROOKED STICK LN, CORONA, CA 92883-0616
(951) 264-3567
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/08/2025
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