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NPI Code Detail

MEDICARE: MS. BRANDY JEANINE HUSBANDS

MEDICARE: MS. BRANDY JEANINE HUSBANDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerASW117864CA

General Provider Information

NPI Number : 1245663517
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRANDY JEANINE HUSBANDS
Provider Business Mailing Address
First Line : 222 S HILL ST FL 6
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-3523
Country : US
Telephone Number : 213-348-4128
Fax Number :
Provider Business Practice Location Address
First Line : 222 S HILL ST FL 6
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-3523
Country : US
Telephone Number : 213-348-4128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2013
Last Update Date : 01/12/2024

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