Individual
BRANDI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17642 LOGANBERRY RD, CARSON, CA 90746-7465
(424) 205-4729
Mailing address
17642 LOGANBERRY RD, CARSON, CA 90746-7465
(424) 205-4729
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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