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Organization
OPTIMUM WELLNESS THERAPY
Active
Organization
OPTIMUM WELLNESS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL ASHTON BRADFORD LCSW (OWNER)
(443) 996-1989
Entity
Organization
Contact information
Practice address
8725 S SAN PEDRO ST, LOS ANGELES, CA 90003-3538
(443) 996-1989
(443) 681-3434
Mailing address
509 HYDE PARK PL APT 7, INGLEWOOD, CA 90302-1666
(443) 996-1989
(443) 681-3434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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