Individual
BRADLEY LEIGHTON ALLSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 S GRAND AVE BLDG C213-W, SANTA ANA, CA 92705-4434
(562) 665-0325
Mailing address
14660 OXNARD ST, VAN NUYS, CA 91411-3119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW95461
CA
Other
Enumeration date
12/09/2013
Last updated
12/15/2020
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