Individual
BRENDA AGUILAR MANDAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 E HACIENDA AVE, CAMPBELL, CA 95008-6617
(408) 871-5800
Mailing address
200 E HACIENDA AVE, CAMPBELL, CA 95008-6617
(408) 871-5800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS16488
CA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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