Individual
BRANDY MARIE COVARRUBIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Mailing address
1250 6TH AVE STE 100, SAN DIEGO, CA 92101-4368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114058
CA
Other
Enumeration date
04/22/2024
Last updated
06/04/2024
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