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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