Individual
BRYAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4037 BERENICE PL, LOS ANGELES, CA 90031-1618
(303) 518-0067
Mailing address
4037 BERENICE PL., LOS ANGELES, CA 90031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW78812
CA
Other
Enumeration date
04/03/2012
Last updated
01/30/2025
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