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Individual

BRYAN THOMAS HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6666 GREEN VALLEY CIR, CULVER CITY, CA 90230-7068
(310) 846-5270
Mailing address
6666 GREEN VALLEY CIR, CULVER CITY, CA 90230-7068

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
373H00000X
Day Training/Habilitation Specialist
1902431000
CA

Other

Enumeration date
03/09/2020
Last updated
09/18/2025
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