Individual
MS. BRENDA M CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S VERMONT AVE FL 18, LOS ANGELES, CA 90020-1912
(626) 643-1305
Mailing address
510 S VERMONT AVE FL 18, 18TH FLOOR, LOS ANGELES, CA 90020-1912
(626) 643-1305
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35293
CA
Other
Enumeration date
10/05/2022
Last updated
09/18/2024
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