Mary Broccoli is a Clinical in Camp Pendleton, California. Mary Broccoli practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Broccoli is 1154306983. The last update date is 2007-07-08.
Mary Broccoli's current location address is Po Box 555191, Camp Pendleton, California. You can contact this provider via phone number 7607251555 and fax number 7607251350. The mailing address for Mary Broccoli is Po Box 555191, Camp Pendleton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Broccoli |
|---|---|
| Address | Po Box 555191, Camp Pendleton, California |
| Phone Number | 7607251555 |
| Fax Number | 7607251350 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1154306983 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 555191 |
|---|---|
| City | Camp Pendleton |
| State | California (CA) |
| Post Code | 920555191 |
| Phone Number | 7607251555 |
| Fax Number | 7607251350 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 21113 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Post Comment/ Review Below
Could you please share the complete physical address where Mary Broccoli is geographically located?
The Mary Broccoli is physically situated at the following location: Po Box 555191, Camp Pendleton, CA, 920555191.
What is Mary Broccoli's area of expertise and its corresponding taxonomy classification?
The Mary Broccoli's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
What is Mary Broccoli's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Broccoli is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
As of what date were the details pertaining to Mary Broccoli last refreshed?
The information related to the Mary Broccoli, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
When was the information regarding Mary Broccoli, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Broccoli, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA