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General NPI Number Information
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NPI Number | 1376762989
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Entity Type | Individual
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Provider Name | BRANDY STEWART M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2500 W MANCHESTER BLVD
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City | INGLEWOOD
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State | CA
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Zip | 90305-2520
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Country | US
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Telephone | 310-213-8860
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Fax |
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Provider Business Mailing Address
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Address Line | 11138 DEL AMO BLVD # 391
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City | LAKEWOOD
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State | CA
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Zip | 90715-1103
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Country | US
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Telephone | 310-817-0487
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS28543
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License Number State | CA
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