BRIAN PHANICHKARN

FREMONT, CA
NPI1699324152
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  90788)
Enumeration Date2019-09-08
Last Update Date2021-09-28
Business Address
BRIAN PHANICHKARN LCSW
39180 LIBERTY ST STE 220
FREMONT, CA 94538-1522
Phone number: 415-735-4899
Mailing Address
BRIAN PHANICHKARN LCSW
17247 VIA EL CERRITO
SAN LORENZO, CA 94580-2736
Phone number: 415-795-0737
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