Individual
BRENDA E GARCIA PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
Mailing address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW123891
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/07/2023
Last updated
08/22/2024
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