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1619459187
BRANDON WAUGH
SAN DIEGO, CA
NPI
1619459187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 83457)
Enumeration Date
2018-08-31
Last Update Date
2018-08-31
Business Address
BRANDON WAUGH LCSW
1501 IMPERIAL AVE
SAN DIEGO, CA 92101-7638
Phone number: 619-233-8500
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Mailing Address
BRANDON WAUGH LCSW
PO BOX 928532
SAN DIEGO, CA 92192-8532
Phone number:
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