Individual
BRIAN GILBANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
15200 FOOTHILL BLVD, VILLA FAIRMONT MHRC, SAN LEANDRO, CA 94578-1013
(510) 352-9690
(510) 352-9008
Mailing address
61 AVENIDA DR, BERKELEY, CA 94708-2145
(510) 701-3420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS10743
CA
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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