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Individual

BRIAN ANTHONY KENDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1196 3RD AVE, CHULA VISTA, CA 91911-3131
(619) 427-4661
Mailing address
102 HALSEY ST, CHULA VISTA, CA 91910-5902
(619) 370-5606

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25089
CA

Other

Enumeration date
10/19/2006
Last updated
04/08/2019
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