Individual
MR. BRANDON COBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LICSW
Contact information
Practice address
8530 29TH ST W, UNIVERSITY PLACE, WA 98466-2609
(253) 961-1789
Mailing address
8530 29TH ST W, UNIVERSITY PLACE, WA 98466-2609
(253) 961-1789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60963047
WA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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