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Organization

BRIAN SEAN STILLER LICENSED CLINICAL SOCIAL WORKER INC

Active
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Organization

BRIAN SEAN STILLER LICENSED CLINICAL SOCIAL WORKER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN SEAN STILLER LCSW (OWNER)
(858) 215-4044
Entity
Organization

Contact information

Practice address
11622 EL CAMINO REAL STE 100, SAN DIEGO, CA 92130-2051
(858) 215-4044
Mailing address
1367 E GOSHEN AVE, FRESNO, CA 93720-2648
(903) 246-1953

Taxonomy

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

Other

Enumeration date
04/16/2020
Last updated
04/16/2020
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