Individual
BRENT E YODER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
291 E LEXINGTON AVE, SUITE D, EL CAJON, CA 92020-4536
(619) 447-7917
(619) 447-0921
Mailing address
11724 ALTOONA DR, EL CAJON, CA 92020-8357
(619) 447-7917
(619) 447-0921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS9305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942432
—
CA
Enumeration date
09/18/2005
Last updated
07/08/2007
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