LOGAN ANNE BRANTLEY

SAN DIEGO, CA
NPI1588143978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  110813)
Additional Taxonomies1041S0200X Social Worker, School
(Licence: DC  LG50082568)
Enumeration Date2018-08-07
Last Update Date2023-01-26
Business Address
LOGAN ANNE BRANTLEY LCSW
655 TOURMALINE ST APT 5H
SAN DIEGO, CA 92109-1738
Phone number: 919-334-8885
Mailing Address
LOGAN ANNE BRANTLEY LCSW
5666 LA JOLLA BLVD PO BOX 159
SAN DIEGO, CA 92037
Phone number: 202-643-6573