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NPI Code Detail

MEDICARE: BRITTANY BOVEE LCSW

MEDICARE:   BRITTANY  BOVEE  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker62877CA

General Provider Information

NPI Number : 1265664551
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY BOVEE LCSW
Provider Business Mailing Address
First Line : 318 E BRANCH ST
Second Line :
City : ARROYO GRANDE
State : CA
Zip : 93420-2706
Country : US
Telephone Number : 805-222-6477
Fax Number :
Provider Business Practice Location Address
First Line : 318 E BRANCH ST
Second Line :
City : ARROYO GRANDE
State : CA
Zip : 93420-2706
Country : US
Telephone Number : 424-254-9101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2009
Last Update Date : 01/11/2024

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Directions to “ BRITTANY BOVEE LCSW” Practice Location

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