Sandra Bravo, LCSW
Social Worker, Clinical in San Jose, CA. Individual provider (NPI-1).
NPI number1689429045
StatusActive
Last updated in NPPESApr 19, 2024
Details
- NPI
- 1689429045
- Entity type
- Individual (NPI-1)
- Name
- Sandra Bravo
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2024
- Certification date
- Apr 19, 2024
- Last updated
- Apr 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 115124 | CA | Yes |
Practice location
567 Leigh AveSan Jose, CA 95128-2327
Phone 140-861-3409
Mailing address
567 Leigh AveSan Jose, CA 95128-2327
Phone 140-861-3409
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