Brooke Janay Grandison, | |
1210 Janes Way, Colton, CA 92324-1669 | |
(951) 990-0329 | |
Not Available |
Full Name | Brooke Janay Grandison |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1210 Janes Way, Colton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407511587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 118207 (California) | Primary |
Entity Name | Inland Psychiatric Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649217761 PECOS PAC ID: 9436062312 Enrollment ID: O20031106000736 |
Mailing Address | Practice Location Address |
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Brooke Janay Grandison, 1210 Janes Way, Colton, CA 92324-1669 Ph: (760) 671-0091 | Brooke Janay Grandison, 1210 Janes Way, Colton, CA 92324-1669 Ph: (951) 990-0329 |
Ms. Barbara Ellen Bresolin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1430 E Cooley Dr Ste 111, Colton, CA 92324 Phone: 909-825-5128 Fax: 909-825-8568 | |
Nadia Solis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1461 E Cooley Dr, Colton, CA 92324 Phone: 099-665-2024 | |
Mr. John Tesco Goodson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 791 N. Pepper Ave, Colton, CA 92324 Phone: 909-824-0480 Fax: 909-824-0487 | |
Stacie Lynn Singh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 791 N Pepper Ave, Colton, CA 92324 Phone: 909-824-0480 | |
Brittani J Hollier, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1461 E Cooley Dr Ste 100, Colton, CA 92324 Phone: 877-527-7227 | |
Lorena Tejeda, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 E Cooley Dr, Colton, CA 92324 Phone: 909-560-0302 Fax: 909-825-2969 | |
Georgina Alice Yoshioka Mora, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1330 E Cooley Dr, Colton, CA 92324 Phone: 909-580-3801 |