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1487165957
PAUL KONRAD BRAZZEL
SAN DIEGO, CA
NPI
1487165957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW62884)
Enumeration Date
2017-10-23
Last Update Date
2022-07-21
Business Address
PAUL KONRAD BRAZZEL LCSW
3016 LAUREL ST
SAN DIEGO, CA 92104-5023
Phone number: 619-823-5683
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Mailing Address
PAUL KONRAD BRAZZEL LCSW
3016 LAUREL ST
SAN DIEGO, CA 92104-5023
Phone number: 619-823-5683
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