Individual
MS. ANDREA CAROLYN BARDACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
8235 SANTA MONICA BLVD STE 400, WEST HOLLYWOOD, CA 90046-5970
(310) 433-0119
(310) 278-2560
Mailing address
PO BOX 18316, BEVERLY HILLS, CA 90209-4316
(310) 433-0119
(310) 278-2560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 21812
CA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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