Suzanne Brodsly LCSW

NPI 1790875409 - Social Worker - 1041C0700X

NPI Details
NPI 1790875409
Gender Female
Enumeration Date 10/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
16480 HARBOR BLVD STE 103
FOUNTAIN VALLEY CA, 92708-1361, US
Phone (714) 418-9606
Fax
Business Location
2217 BAY VIEW DR
SIGNAL HILL CA, 90755-3777, US
Phone (562) 595-0577
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS18902
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According to our database, Suzanne Brodsly LCSW NPI is 1790875409, taxonomy code is 1041C0700X and license number is LCS18902, license state is located at California. Suzanne Brodsly LCSW physically located at 16480 Harbor Blvd Ste 103, Fountain Valley CA, 92708-1361. NPI Number Suzanne Brodsly LCSW has the Individual type.

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1790875409 NPI number is provided on an as is basis without warranty of any kind. 1790875409 is maintained by the National Plan & Provider Enumeration System. The contents of Suzanne Brodsly LCSW are for informational purposes only.