Individual
MR. BRYAN BERNARD SHRAGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5736 SOUTHBROOK WAY, CARMICHAEL, CA 95608-0309
(916) 203-8312
Mailing address
5736 SOUTHBROOK WAY, CARMICHAEL, CA 95608-0309
(916) 203-8312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS15940
CA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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