Individual
BREANNE SCALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2300 BOSWELL RD STE 245, CHULA VISTA, CA 91914-3523
(619) 549-0329
Mailing address
946 CANDLELITE DR, SAN MARCOS, CA 92069-1946
(760) 533-8659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
91972
CA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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