Individual
BRENDA LEE DIGRUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
21632 WESLEY DR, LAGUNA BEACH, CA 92651-8167
(949) 499-5346
(949) 499-1594
Mailing address
33866 PEQUITO DR, DANA POINT, CA 92629-2482
(949) 489-1463
(949) 489-7778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS21364
CA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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