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Individual

BRENDAN MARQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ASW

Contact information

Practice address
3881 S WESTERN AVE, LOS ANGELES, CA 90062-1105
(626) 254-5000
Mailing address
100 N BRAND BLVD, STE 223, GLENDALE, CA 91203-2641
(626) 254-5000

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
70580
CA
1041C0700X
Clinical Social Worker
Primary
94688
CA

Other

Enumeration date
02/24/2016
Last updated
03/11/2021
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