Individual
BARRY BERNARD SEVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6370 MAGNOLIA AVE STE 200, RIVERSIDE, CA 92506-2406
(951) 358-5930
Mailing address
6370 MAGNOLIA AVE STE 200, RIVERSIDE, CA 92506-2406
(951) 358-5930
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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