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Laurel Bredthauer, MSW, ASW

Social Worker in Tustin, CA. Individual provider (NPI-1).

NPI number1376972141
StatusActive
Last updated in NPPESNov 2, 2013

Details

NPI
1376972141
Entity type
Individual (NPI-1)
Name
Laurel Bredthauer
Credential
MSW, ASW
Sex
Female
Sole proprietor
No
Enumeration date
Nov 2, 2013
Last updated
Nov 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerASW59677CAYes

Practice location

18302 Irvine Blvd Ste 300
Tustin, CA 92780-3437

Phone 714-881-8641

Mailing address

18302 Irvine Blvd Ste 300
Tustin, CA 92780-3437

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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