Individual
BRYAN HOWARD CHICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASW, MSW
Contact information
Practice address
44443 10TH ST W, LANCASTER, CA 93534-3346
(661) 726-2630
(661) 940-3412
Mailing address
44443 10TH ST W, LANCASTER, CA 93534-3346
(661) 726-2630
(661) 940-3412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
109069
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2021
Last updated
07/12/2023
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