Most Relevant Information
Provider Data
| NPI Number: | 1003680182 |
| Provider Name: | ALYSE BROOKE YANCY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 103170 |
Most Important Dates
| Enumeration Date: | 11/09/2023 |
| Last Updated: | 11/09/2023 |
Provider Practice Location
13564 DELAWARE RD
APPLE VALLEY
CA
923086178
Practice Location Phone/Fax
| Phone: | 7609540277 |
| Fax: |
Provider Mailing Location
13564 DELAWARE RD
APPLE VALLEY
CA
923086178
Provider Mailing Phone/Fax
| Phone: | 7609540277 |
| Fax: |