Individual
BRIAN VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8875 AERO DR, SAN DIEGO, CA 92123-2251
(619) 680-1768
Mailing address
9528 MIRAMAR RD # 140, SAN DIEGO, CA 92126-4533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
124776
CA
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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