Individual
MR. BRUCE WARREN MATSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
1424 ETHEL ST, GLENDALE, CA 91207-1240
(818) 726-6876
(818) 500-1123
Mailing address
1424 ETHEL ST, GLENDALE, CA 91207-1240
(818) 726-6876
(818) 500-1123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW13393
CA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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