Individual
MS. BACH-TUYET BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073
(310) 478-3711
Mailing address
8225 CALABAR AVE, PLAYA DEL REY, CA 90293-7813
(310) 821-2694
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
212256
MA
1041C0700X
Clinical Social Worker
Primary
113756
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113756
SOCIAL WORK
MA
01
—
1689617318
LICSW
MA
Enumeration date
06/13/2006
Last updated
09/11/2025
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