Individual
BREHONA LASHAY BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
101 GOUGH ST, SAN FRANCISCO, CA 94102
(415) 503-3137
Mailing address
101 GOUGH ST, SAN FRANCISCO, CA 94102-5903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
104100000X
Social Worker
76872
CA
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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