Individual
BRETT ALLEN MCGILLIVRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5000 W SUNSET BLVD, 4TH FLOOR, LOS ANGELES, CA 90027-5861
(323) 669-2153
Mailing address
200 MCNEIL LN, #210, NEWPORT BEACH, CA 92663-2698
(949) 338-3005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 23132
CA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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