Individual
BRANDY ROGGENTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, BICM, PPS
Contact information
Practice address
23501 PARK SORRENTO STE 101, CALABASAS, CA 91302-1369
(661) 505-5555
Mailing address
PO BOX 801164, SANTA CLARITA, CA 91380-1164
(661) 505-5555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22723
CA
1041S0200X
School Social Worker
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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