Individual
MR. BRIAN JOSEPH DEPENBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSWC MD
Contact information
Practice address
8011 OLD GEORGETOWN RD, BETHESDA, MD 20814-2426
(703) 521-1564
Mailing address
716 S GEORGE MASON DR, ARLINGTON, VA 22204-1513
(703) 521-1564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02868
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3507
CAREFIRST BCBS
—
Enumeration date
05/09/2007
Last updated
07/08/2007
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