Individual
BRANDON RICHARD SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001A EAST PKWY # 800, SACRAMENTO, CA 95823-2501
(916) 336-1408
Mailing address
3424 SANTA CRUZ WAY, SACRAMENTO, CA 95817-3757
(825) 207-4901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119629
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/01/2019
Last updated
09/09/2024
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