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Organization
THE BODHI TREE, A LICENSED CLINICAL SOCIAL WORKER CORP
Active
Organization
THE BODHI TREE, A LICENSED CLINICAL SOCIAL WORKER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD K NYMAN LCSW (PRESIDENT/LEAD THERAPIST)
(949) 294-8627
Entity
Organization
Contact information
Practice address
7355 CHURCH ST STE A, YUCCA VALLEY, CA 92284-3273
(760) 517-3377
(760) 517-3377
Mailing address
7355 CHURCH ST STE A, YUCCA VALLEY, CA 92284-3273
(760) 517-3377
(760) 517-3377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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