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NPI Code Detail

MEDICARE: JESSICA JASMINE BRAGANZA LCSW

MEDICARE:   JESSICA JASMINE BRAGANZA  LCSW
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 Worker

General Provider Information

NPI Number : 1376773549
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA JASMINE BRAGANZA LCSW
Provider Business Mailing Address
First Line : 8300 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-3493
Country : US
Telephone Number : 213-822-9977
Fax Number :
Provider Business Practice Location Address
First Line : 8300 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-3493
Country : US
Telephone Number : 213-822-9977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2009
Last Update Date : 03/09/2021

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Directions to “ JESSICA JASMINE BRAGANZA LCSW” Practice Location

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