Mary Broccoli, LCSW

NPI #1154306983 in Camp Pendleton, California

Provider Information

NPI Number
1154306983
Entity Type
Individual
Name
Mary Broccoli, LCSW
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 14, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
NAVAL HOSPITAL, CAMP PENDLETON
Address 2
ATTENTION: CODE 094
ZIP Code
92055-5191
Phone
(760) 725-1555

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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