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Individual

DR. LAURENCE BRENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1348 10TH AVE, SAN FRANCISCO, CA 94122-2304
(415) 564-2310
(415) 564-2313
Mailing address
366 ROOSEVELT WAY, SAN FRANCISCO, CA 94114-1434
(415) 861-4788

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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