Individual
MISS BRENDA GAILYA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
820 E GILBERT ST, SAN BERNARDINO, CA 92415-0928
(909) 387-7200
(909) 387-7717
Mailing address
820 E GILBERT ST, SAN BERNARDINO, CA 92415-0928
(909) 387-7200
(909) 387-7717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW 21771
CA
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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