Individual
AJA N BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 MESA VERDE DR E STE H, COSTA MESA, CA 92626-4857
(909) 730-3660
Mailing address
2850 MESA VERDE DR E STE H, COSTA MESA, CA 92626-4857
(909) 730-3660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW66076
CA
Other
Enumeration date
09/23/2009
Last updated
12/02/2021
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