Individual
BRENDA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S GRAND AVE STE 600, LOS ANGELES, CA 90015-3068
(213) 742-6250
Mailing address
3455 PERCY ST, LOS ANGELES, CA 90023-1716
(323) 268-2100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
125169
CA
Other
Enumeration date
09/08/2023
Last updated
09/10/2024
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