Individual
MRS. BRANDY MCKAIG MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSG, MSW
Contact information
Practice address
5740 RALSTON ST, VENTURA, CA 93003-6051
(805) 289-3100
Mailing address
5740 RALSTON AVENUE, VENTURA, CA 93003
(805) 289-3100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW 18572
CA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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