Individual
MR. BRYCE JORDAN IMBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3801 E PACIFIC COAST HWY, #346, LONG BEACH, CA 90804-2023
(562) 216-3675
Mailing address
3801 E PACIFIC COAST HWY, #346, LONG BEACH, CA 90804-2023
(562) 216-3675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25266
CA
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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