Individual
ALEXANDRA BRAVO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 N MOUNTAIN AVE, UPLAND, CA 91786-4167
(415) 992-6155
(650) 360-6913
Mailing address
818 N MOUNTAIN AVE, UPLAND, CA 91786-4167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
96620
CA
1041S0200X
School Social Worker
96620
CA
Other
Enumeration date
10/19/2017
Last updated
08/18/2025
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