Individual
JESSICA RUTH BRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2002260-SUPV
OH
1041C0700X
Clinical Social Worker
130400
CA
Other
Enumeration date
06/25/2018
Last updated
05/13/2026
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