Individual
BROOKE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
769 W BLAINE ST, SUITE B, RIVERSIDE, CA 92507-3970
(951) 358-4705
(951) 358-4719
Mailing address
769 W BLAINE ST, SUITE B, RIVERSIDE, CA 92507-3970
(951) 358-4705
(951) 358-4719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS11817
CA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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