Broccoli, Mary

Broccoli, Mary is an individual health care provider with primary practice located at Naval Hospital, Camp Pendleton Attention: Code 094, Camp Pendleton CA 92055-5191. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Broccoli, Mary can be contacted via phone (760) 725-1555.

Contact Information

Primary practice address
Naval Hospital, Camp Pendleton Attention: Code 094 Camp Pendleton CA 92055-5191
Phone: (760) 725-1555
Fax: (760) 725-1350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21113 California

Profile Details

NPI number 1154306983
LBN Legal business name Broccoli, Mary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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