Individual
BRIDGETTE MITCHELL SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, RPT-S
Contact information
Practice address
8939 S SEPULVEDA BLVD STE 250, LOS ANGELES, CA 90045-3658
(310) 752-9806
Mailing address
8726 S SEPULVEDA BLVD # D-316, LOS ANGELES, CA 90045-4014
(310) 752-9806
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
LCS19549
CA
104100000X
Social Worker
LCS19549
CA
1041C0700X
Clinical Social Worker
Primary
LCS19549
CA
1041S0200X
School Social Worker
LCS19549
CA
Other
Enumeration date
05/20/2015
Last updated
09/08/2022
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